NPIMap

Organization Active NPI

Intrigue Counseling, Inc

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1841248754
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000672A Issued in IN
Legal business name
INTRIGUE COUNSELING, INC
Practice address
227 N Dixie Way
Suite 210
South Bend, IN 46637-3385
Phone
(574) 234-3515
Fax
(574) 234-3565
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Ms. Abbee Dallek Smith, LCSW
Title
Director
Phone
(574) 234-3515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34000672A IN Primary

Addresses

Primary practice location

227 N Dixie Way
Suite 210
South Bend, IN 46637-3385

Mailing address

227 N Dixie Way
Suite 210
South Bend, IN 46637-3385
Phone (574) 234-3515

Other identifiers 1

IdentifierTypeStateIssuer
200375890AMedicaidIN

National Provider Directory

National Provider Directory

Locations

227 N Dixie Way
Ste 210
South Bend, IN 46637
Phone (574) 234-3515

1045 E Front St
Ste B2
Buchanan, MI 49107
Phone (269) 695-1113

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1841248754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N DIXIE WAY",
            "address_2": "SUITE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373385",
            "telephone_number": "574-234-3515",
            "fax_number": "574-234-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N DIXIE WAY",
            "address_2": "SUITE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373385",
            "telephone_number": "574-234-3515",
            "fax_number": "574-234-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRIGUE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ABBEE",
        "authorized_official_middle_name": "DALLEK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "574-234-3515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000672A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200375890A",
            "state": "IN"
        }
    ],
    "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 Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.