Individual provider Active NPI

Jennifer S Mitchell, LMHC

  • Mental Health Counselor
  • Warsaw, IN
National Provider Identifier
1851372338
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001513A Issued in IN
Practice address
119 E Center St
Suite B6
Warsaw, IN 46580-2852
Phone
(574) 267-7890
Fax
(574) 267-7890
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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 39001513A IN Primary

Addresses

Primary practice location

119 E Center St
Suite B6
Warsaw, IN 46580-2852

Mailing address

119 E Center St
Suite B6
Warsaw, IN 46580-2852
Phone (574) 267-7890

Other names 1

  • Jennifer S Sheldon Former name

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
I20231229002741 IN Practitioner - Mental Health Counselor 6800246083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39001513AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc Current Accepting new patients
Bowen Health Inc CurrentSince Jan 1, 2024 Accepting new patients
Mitchell Counseling & Consulting, LLC Mental Health Past Accepting new patients

Locations

901 Anchorage Rd
Warsaw, IN 46580

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

Organizations & group practices 3

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1851372338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E CENTER ST",
            "address_2": "SUITE B6",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465802852",
            "telephone_number": "574-267-7890",
            "fax_number": "574-267-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E CENTER ST",
            "address_2": "SUITE B6",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465802852",
            "telephone_number": "574-267-7890",
            "fax_number": "574-267-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001513A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHELDON",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.