Culturally Competent Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CULTURALLY COMPETENT THERAPY PLLC

Practice address

1251 N Eddy St Ste 200
South Bend, IN 46617-1478

Phone

(312) 798-9755

NPI assigned

May 6, 2020

Last updated

Jun 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela Decarla Jackson, PH.D., LCPC, LMHCNPI 1194267476

Title

Owner

Phone

(312) 798-9755

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Decarla Jackson, PH.D., LCPC, LMHC

  • Professional Counselor
  • South Bend, IN
  • NPI 1194267476

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1881215374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 N EDDY ST STE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171478",
            "telephone_number": "312-798-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N EDDY ST STE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171478",
            "telephone_number": "312-798-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURALLY COMPETENT THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DECARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-798-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Cruz, MSW
• Kimberly Cruz, MSW
• Sydney Cruz
• Natalie Cudziol
• Cultivating Life Clinic
• Julie Cummins, PT
• Kevin Francis Cumper, M.D.
• Rachel Cundiff, PHARMD
• Jo Anna Frances Curless, WHNP, IBCLC
• Teresa Curran, BA

• Professional Counselor in South Bend, IN
• Providers in South Bend, IN by specialty
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.