STATE OF MIND THERAPY SERVICES, LLC
NPI 1083493761
Counselor - Professional in Portage, IN

Q: What is State Of Mind Therapy Services, LLC's NPI number?

The NPI number for State Of Mind Therapy Services, LLC is 1083493761. It was assigned to this organization in the NPPES registry on September 22, 2023.

Q: What is State Of Mind Therapy Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since September 22, 2023

55 SHORE DR, PORTAGE, IN 46368(219) 230-8311 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About State Of Mind Therapy Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF MIND THERAPY SERVICES, LLC (NPI 1083493761) is a healthcare organization registered as a professional in Portage, Indiana and active in the NPI registry since September 2023. The organization lists Tiffany Kilroy, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1083493761

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameSTATE OF MIND THERAPY SERVICES, LLC

Location Address55 SHORE DRPortage, IN 46368-1008

Mailing Address709 Plaza Dr., Suite 2 Pmb 279Chesterton, IN 46304-1572 · (219) 230-8311

Phone(219) 230-8311

Organization SubpartNo

Authorized OfficialTiffany KilroyOwner/therapist · (219) 230-8311

Enumeration DateSeptember 22, 2023

Last NPPES UpdateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1083493761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

55 SHORE DR, Portage, IN 46368

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY RENATE KILROY LMHC

Counselor (Professional)

55 SHORE DR
PORTAGE, IN 46368

Porter County (219) 230-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Mind Therapy Services, LLC's NPI number?

The NPI number for State Of Mind Therapy Services, LLC is 1083493761. It was assigned to this organization in the NPPES registry on September 22, 2023.

Where is State Of Mind Therapy Services, LLC located?

State Of Mind Therapy Services, LLC is located at 55 Shore Dr, Portage, IN 46368. The listed phone number is (219) 230-8311.

What is State Of Mind Therapy Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for State Of Mind Therapy Services, LLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.