Organization Active NPI

Mongrain Counseling LLC

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1962126185
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Ms. Cindy Lynn Mongrain, LCSWNPI 1952431926
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.