Individual provider Active NPI

Sheldon Swartz, LMFT

  • Marriage & Family Therapist
  • Goshen, IN
National Provider Identifier
1902083389
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001046A Issued in IN
Practice address
109 E Clinton St
Suite 11
Goshen, IN 46528-3233
Phone
(574) 533-2812
Fax
(574) 533-2269
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001046A IN Primary

Addresses

Primary practice location

109 E Clinton St
Suite 11
Goshen, IN 46528-3233

Mailing address

109 E Clinton St
Suite 11
Goshen, IN 46528-3233
Phone (574) 533-2812

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
I20240322002560 IN Practitioner - Marriage and Family Therapist 5294172433 Practice locations: Goshen, IN

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 E Clinton St
Goshen, IN 46528-3233
Phone (574) 533-2812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1902083389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E CLINTON ST",
            "address_2": "SUITE 11",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283233",
            "telephone_number": "574-533-2812",
            "fax_number": "574-533-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E CLINTON ST",
            "address_2": "SUITE 11",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283233",
            "telephone_number": "574-533-2812",
            "fax_number": "574-533-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "SHELDON",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001046A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.