Organization Active NPI

Peter Desmangles Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, IN
National Provider Identifier
1891573713
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PETER DESMANGLES COUNSELING LLC
Practice address
25 Executive Dr Ste G
Lafayette, IN 47905-4880
Phone
(765) 337-7757
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Peter Desmangles, LMHC, LCACNPI 1104046739
Title
Mental Health Therapist
Phone
(765) 586-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

25 Executive Dr Ste G
Lafayette, IN 47905-4880

Mailing address

25 Executive Dr Ste G
Lafayette, IN 47905-4880
Phone (765) 337-7757

National Provider Directory

National Provider Directory

Locations

25 Executive Dr
Ste G
Lafayette, IN 47905
Phone (217) 504-0131

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1891573713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EXECUTIVE DR STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054880",
            "telephone_number": "765-337-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EXECUTIVE DR STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054880",
            "telephone_number": "765-337-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DESMANGLES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "DESMANGLES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "765-586-8155",
        "authorized_official_credential": "LMHC, LCAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.