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EJ UNDERWOOD
NPI 1124649249
Counselor - Mental Health in Warsaw, IN

Active since April 29, 2020
105 ENTERPRISE DR, WARSAW, IN 46580(574) 268-0448 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ej Underwood NPPES

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

EJ UNDERWOOD (NPI 1124649249) is an individual mental health provider in Warsaw, Indiana and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1124649249
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEJ UNDERWOOD
Location Address105 ENTERPRISE DRWarsaw, IN 46580-1204
Mailing Address6202 Constitution Dr Ste EFort Wayne, IN 46804-1583 · (260) 432-0066
Phone(574) 268-0448
Sole ProprietorNo
Enumeration DateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1124649249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 ENTERPRISE DR, Warsaw, IN 46580
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Other Providers at the Same Location NPPES 7

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

MRS. BETHANY ANN CROSTREET MA
Counselor
105 ENTERPRISE DR
WARSAW, IN 46580
Kosciusko County (574) 268-0448
TRACY LYNN LEGROW MA
Counselor (Mental Health)
105 ENTERPRISE DR
WARSAW, IN 46580
Kosciusko County (574) 268-0448
SHELBY LEGAN
Social Worker (Clinical)
105 ENTERPRISE DR
WARSAW, IN 46580
Kosciusko County (574) 268-0448
PEGGY SUE UNDERWOOD
Counselor (Mental Health)
105 ENTERPRISE DR
WARSAW, IN 46580
Kosciusko County (574) 268-0448
KATI MILLS
Counselor (Mental Health)
105 ENTERPRISE DR
WARSAW, IN 46580
Kosciusko County (260) 432-0066
HANNAH RANAE CRONKHITE MA
Counselor (Mental Health)
105 ENTERPRISE DR
WARSAW, IN 46580
Kosciusko County (574) 268-0448
MRS. KERRY D LEHMAN MSW, LCSW
Social Worker (Clinical)
105 ENTERPRISE DR
WARSAW, IN 46580
Kosciusko County (574) 268-0448

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 Ej Underwood's NPI number?

The NPI number for Ej Underwood is 1124649249. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Ej Underwood located?

Ej Underwood practices at 105 Enterprise Dr, Warsaw, IN 46580. The listed phone number is (574) 268-0448.

What is Ej Underwood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ej Underwood was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.