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MICHIANA MENTAL HEALTH CARE, LLC.
NPI 1205315033
Clinic/Center - Adult Mental Health in Mishawaka, IN

Active since August 13, 2018
210 S RACE ST, MISHAWAKA, IN 46544(574) 220-7084 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2018, Aug 13, 2018 (2 updates tracked since 2018).

About Michiana Mental Health Care, Llc. NPPES

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

MICHIANA MENTAL HEALTH CARE, LLC. (NPI 1205315033) is a healthcare organization registered as an adult mental health in Mishawaka, Indiana and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Granger and lists Tara Stanton, Owner, as its authorized official.

NPPES Registry Identity

NPI1205315033
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMICHIANA MENTAL HEALTH CARE, LLC.
Location Address210 S RACE STMishawaka, IN 46544
Mailing Address14691 Copper Penny DrGranger, IN 46530-8304 · (574) 220-7084
Phone(574) 220-7084
Organization SubpartNo
Authorized OfficialTara StantonOwner · (574) 220-7084
Enumeration DateAugust 13, 2018
Last NPPES UpdateAugust 22, 20182 updates tracked since enumeration
✔ NPI 1205315033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in IN · 71006282A
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License 71016282A (IN)
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 71016282A (IN)
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 71016282A (IN)
210 S RACE ST, Mishawaka, IN 46544
Open in Google Maps ↗

Secondary Practice Location 1

Location 114691 Copper Penny DrGranger, IN 46530-8304 · Phone (574) 220-7084

Other Identifiers 1

Medicaid1194175554IN

Other Providers at the Same Location NPPES 9

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

JAMIE PRICE LMHC LLC
Counselor (Mental Health)
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (575) 323-1309
DR. ADAM DELL, LLC
Psychologist (Clinical)
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (574) 527-6298
MENT-HOPE LLC
Nurse Practitioner (Psychiatric/Mental Health)
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (646) 399-7187
DR. MICHAEL RICHARD MITCHEFF PSY.D.
Clinical Neuropsychologist
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (744) 046-7555
JAMES ROBERT DAVIS II D.D.S.
Dentist (General Practice)
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (574) 259-5144
JOYCE M MCMAHON PALMATEER FNP
Nurse Practitioner (Family)
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (574) 404-6755
MICHIANA NEUROSCIENCE, LLC
Clinical Neuropsychologist
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (574) 229-9695
LORI BURROW LCSW
Social Worker (Clinical)
210 S RACE ST
MISHAWAKA, IN 46544
St. Joseph County (574) 404-6755

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 Michiana Mental Health Care, LLC.'s NPI number?

The NPI number for Michiana Mental Health Care, LLC. is 1205315033. It was assigned to this organization in the NPPES registry on August 13, 2018.

Where is Michiana Mental Health Care, LLC. located?

Michiana Mental Health Care, LLC. is located at 210 S Race St, Mishawaka, IN 46544. The listed phone number is (574) 220-7084.

What is Michiana Mental Health Care, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Michiana Mental Health Care, LLC. was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.