Individual provider Active NPI

Elizabeth A Whitaker, M.A., L.M.H.C.

  • Mental Health Counselor
  • Michigan City, IN
National Provider Identifier
1801181144
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002132A Issued in IN
Practice address
8733 W. 400 N.
400 North Medical Center
Michigan City, IN 46360
Phone
(614) 774-8307
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002132A IN Primary

Addresses

Primary practice location

8733 W. 400 N.
400 North Medical Center
Michigan City, IN 46360

Mailing address

114 Concord Dr
Michigan City, IN 46360-7004
Phone (219) 861-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103001038 IN Practitioner - Mental Health Counselor 4486143047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 Airport N Office Park
Fort Wayne, IN 46825-6706
Phone (260) 200-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
39002132AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caraconnect Counseling LLC CurrentSince Aug 27, 2025 Accepting new patients

Locations

607 Airport North Office Park
Fort Wayne, IN 46825
Phone (260) 200-3223

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1801181144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CONCORD DR",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607004",
            "telephone_number": "219-861-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 W. 400 N.",
            "address_2": "400 NORTH MEDICAL CENTER",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "614-774-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.