Active NPI
Andrea Bontrager Counseling, LLC
- Clinical Social Worker
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2026
- 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
- Andrea Joan Bontrager, MA,LCSW,LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Andrea Bontrager Counseling LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Saint Joseph, MI
- NPI 1811816788
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.