Active NPI
Dawn S Jennings
- Addiction (Substance Use Disorder) Counselor
- South Bend, IN
National Provider Identifier
1790698009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 99135492A
- Practice address
- 2420 Viridian Dr
South Bend, IN 46628-4396 - Phone
- (574) 314-0492
- NPI assigned
- Sep 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33013228A | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 99135492A | IN | Primary |
Addresses
Primary practice location
2420 Viridian Dr
South Bend, IN 46628-4396
Mailing address
806 Obrien St
South Bend, IN 46628-2518
Phone (574) 314-0492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790380800000",
"number": "1790698009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 OBRIEN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466282518",
"telephone_number": "574-314-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 VIRIDIAN DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466284396",
"telephone_number": "574-314-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "DAWN",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "33013228A",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "99135492A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.