Active NPI
Mongrain Counseling LLC
- Clinical Social Worker
- South Bend, IN
National Provider Identifier
1962126185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MONGRAIN COUNSELING LLC
- Doing business as
- Mongrain Counseling LLC
- Practice address
- 53846 Generations Dr
South Bend, IN 46635-1543 - Phone
- (574) 520-8016
- NPI assigned
- Sep 30, 2022
- Last updated
- Sep 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cindy Lynn Mongrain, LCSW
- Title
- Clinical Social Worker
- Phone
- (574) 520-8016
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
53846 Generations Dr
South Bend, IN 46635-1543
Mailing address
809 Riverside CT Apt 1C
South Bend, IN 46616-1602
Phone (574) 520-8016
Other names 1
- Mongrain Counseling LLC
National Provider Directory
National Provider DirectoryLocations
53846 Generations Dr
South Bend, IN 46635
Phone (574) 243-9370
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- South Bend, IN
- NPI 1952431926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664496000000",
"number": "1962126185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 RIVERSIDE CT APT 1C",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466161602",
"telephone_number": "574-520-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53846 GENERATIONS DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351543",
"telephone_number": "574-520-8016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONGRAIN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A",
"authorized_official_last_name": "MONGRAIN",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "574-520-8016",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mongrain Counseling LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.