Individual provider Active NPI

Chelsey Luke, MS

  • Mental Health Counselor
  • South Bend, IN
National Provider Identifier
1851869309
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
317 S Eddy St
South Bend, IN 46617-3201
Phone
(574) 218-0566
NPI assigned
Nov 2, 2018
Last updated
Jul 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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 Primary

Addresses

Primary practice location

317 S Eddy St
South Bend, IN 46617-3201

Mailing address

58603 Baugo Cove Dr
Elkhart, IN 46517-8688
Phone (574) 596-2648

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
I20240215000999 IN Practitioner - Mental Health Counselor 0345605663 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling CurrentSince Feb 1, 2024 Accepting new patients
Dr Heather Holleman LLC CurrentSince Feb 1, 2024 Accepting new patients
Around the Bend Counseling Center Mental Health CurrentSince Jul 21, 2024 Accepting new patients

Locations

317 S Eddy St
South Bend, IN 46617
Phone (219) 379-4362

3220 E Jefferson Blvd
South Bend, IN 46615
Phone (574) 222-2466

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1851869309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58603 BAUGO COVE DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465178688",
            "telephone_number": "574-596-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S EDDY ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173201",
            "telephone_number": "574-218-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "CHELSEY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.