Organization Active NPI

Well House Counseling

  • Clinical Social Worker
  • Ellettsville, IN
National Provider Identifier
1932985223
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELL HOUSE COUNSELING
Practice address
7251 W State Road 46
Ellettsville, IN 47429-1029
Phone
(812) 508-8497
Fax
(812) 329-5558
NPI assigned
Sep 4, 2023
Last updated
Sep 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Mr. Chris Blair Engle, MSSW LCSW LCACNPI 1801175831
Title
Owner
Phone
(812) 325-9357

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7251 W State Road 46
Ellettsville, IN 47429-1029

Mailing address

7251 W State Road 46
Ellettsville, IN 47429-1029
Phone (812) 508-8497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113002605 IN Part B Supplier - Clinic/Group Practice 2062869035 Receives reassigned benefits from 1 practitioner
Practice locations: Ellettsville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1932985223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 W STATE ROAD 46",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474291029",
            "telephone_number": "812-508-8497",
            "fax_number": "812-329-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W STATE ROAD 46",
            "city": "ELLETTSVILLE",
            "state": "IN",
            "postal_code": "474291029",
            "telephone_number": "812-508-8497",
            "fax_number": "812-329-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HOUSE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-325-9357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSW LCSW LCAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellettsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.