MBJ Counseling PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MBJ COUNSELING PC

Practice address

107 Woodland Court Suite B
Michigan City, IN 46360

Phone

(219) 336-4866

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Bazin-Johnson, LCSWNPI 1124631528

Title

President

Phone

(219) 336-4866

Specialties & licenses 1

Addresses

Other names 1

• none Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Michelle Bazin-Johnson, LCSW

  • Clinical Social Worker
  • Michigan City, IN
  • NPI 1124631528
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1942986864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODLAND COURT SUITE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-336-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODLAND COURT SUITE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-336-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBJ COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "BAZIN-JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-336-4866",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Veronica C Martin, MA
• Maryann T. Fumo PC
• Matias Inc (Lighthouse Counseling and Wellness)
• Dillan Matthes, DDS
• Maurice Ndukwu PC
• Kevin McBride
• Noelle A McBride, RDN
• Joel Charles McClurg, MD, PHD, FAAOS
• James Richard McCormick, DDS
• Carmen Bonita McCoy, LCSW

• Clinical Social Worker in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.