Individual provider Active NPI

Alexi Mpanzu, LSW

  • Social Worker
  • Marion, IN
National Provider Identifier
1962372698
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
99130786A Issued in IN
Practice address
5230 S Western Ave
Marion, IN 46953-5778
Phone
(260) 563-8453
Fax
(260) 569-0335
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 99130786A IN Primary

Addresses

Primary practice location

5230 S Western Ave
Marion, IN 46953-5778

Mailing address

3565 S State Road 13
Wabash, IN 46992-9162
Phone (260) 563-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99130786AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Counseling Center, Inc CurrentSince Nov 9, 2025 Accepting new patients

Locations

5230 S Western Ave
Marion, IN 46953
Phone (765) 674-2208

3565 S State Road 13
Wabash, IN 46992

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1962372698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 S STATE ROAD 13",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469929162",
            "telephone_number": "260-563-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 S WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535778",
            "telephone_number": "260-563-8453",
            "fax_number": "260-569-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MPANZU",
        "first_name": "ALEXI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99130786A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.