Individual provider Active NPI

Jamie Lynn Mullenhour, LMHC

  • Mental Health Counselor
  • Valparaiso, IN
National Provider Identifier
1952847113
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002955A Issued in IN
Practice address
2005 Valparaiso St
Suite 209
Valparaiso, IN 46383-3329
Phone
(219) 252-5464
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002955A IN Primary

Addresses

Primary practice location

2005 Valparaiso St
Suite 209
Valparaiso, IN 46383-3329

Mailing address

2005 Valparaiso St
Suite 209
Valparaiso, IN 46383-3329
Phone (219) 252-5464

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
I20250331001081 IN Practitioner - Mental Health Counselor 8325561459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lpa Co. CurrentSince Mar 4, 2025 Accepting new patients

Locations

601 Franklin St
Ste 103
Michigan City, IN 46360
Phone (219) 252-5464

2005 Valparaiso St
Ste 209
Valparaiso, IN 46383
Phone (219) 252-5464

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1952847113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "address_2": "SUITE 209",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833329",
            "telephone_number": "219-252-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "address_2": "SUITE 209",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833329",
            "telephone_number": "219-252-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENHOUR",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.