DARELL EZELL II
NPI 1093314452
Counselor in South Bend, IN

Active since October 18, 2020
415 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: October 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darell Ezell Ii NPPES

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

DARELL EZELL II (NPI 1093314452) is an individual counselor in South Bend, Indiana and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1093314452
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDARELL EZELL II
Location Address415 E MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652
Fax(574) 537-2652
Sole ProprietorNo
Enumeration DateOctober 18, 2020
NPPES CertifiedOctober 18, 2020
NPI 1093314452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
415 E MADISON ST, South Bend, IN 46617

Other Providers at the Same Location NPPES 20

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

Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617

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 Darell Ezell's NPI number?

The NPI number for Darell Ezell is 1093314452. It was assigned to this individual provider in the NPPES registry on October 18, 2020.

Where is Darell Ezell located?

Darell Ezell practices at 415 E Madison St, South Bend, IN 46617. The listed phone number is (574) 533-1234.

What is Darell Ezell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Darell Ezell was last updated on October 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.