Organization Active NPI

Andrea Bontrager Counseling, LLC

  • Clinical Social Worker
  • Goshen, IN
National Provider Identifier
1972322402
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANDREA BONTRAGER COUNSELING, LLC
Practice address
313 S 3Rd St
Goshen, IN 46526-3709
Phone
(574) 535-0880
Fax
(574) 535-0882
NPI assigned
Oct 10, 2024
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Andrea Joan Bontrager, MA,LCSW,LMSWNPI 1801177134
Title
Ceo
Phone
(574) 971-1246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

313 S 3Rd St
Goshen, IN 46526-3709

Mailing address

17 Fairfield Park
Goshen, IN 46526-1518
Phone (574) 971-1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106000796 IN Part B Supplier - Clinic/Group Practice 7012441694 Receives reassigned benefits from 1 practitioner
Practice locations: Goshen, IN

National Provider Directory

National Provider Directory
Tax ID family
Andrea Bontrager Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1972322402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FAIRFIELD PARK",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261518",
            "telephone_number": "574-971-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263709",
            "telephone_number": "574-535-0880",
            "fax_number": "574-535-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA BONTRAGER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "BONTRAGER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-971-1246",
        "authorized_official_credential": "MA,LCSW,LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

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