Organization Active NPI

Joel William Counseling LLC

  • Clinical Social Worker
  • Goshen, IN
National Provider Identifier
1982437174
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOEL WILLIAM COUNSELING LLC
Practice address
302 S Main St
Goshen, IN 46526-3725
Phone
(574) 213-2331
Fax
(574) 406-7397
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Mr. Joel William Kern, LCSWNPI 1124491980
Title
Owner
Phone
(574) 213-2331

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

302 S Main St
Goshen, IN 46526-3725

Mailing address

2318 Nature View CT
Goshen, IN 46526-1557
Phone (574) 213-2331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010000770 IN Part B Supplier - Clinic/Group Practice 4789116104 Receives reassigned benefits from 1 practitioner
Practice locations: Goshen, IN

National Provider Directory

National Provider Directory

Locations

302 S Main St
Goshen, IN 46526
Phone (574) 213-2331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1982437174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 NATURE VIEW CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261557",
            "telephone_number": "574-213-2331",
            "fax_number": "574-406-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263725",
            "telephone_number": "574-213-2331",
            "fax_number": "574-406-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL WILLIAM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-213-2331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "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 Aug 22, 2024; 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.