LIBBY LAKE COUNSELING LLC
NPI 1205659554
Counselor - Professional in Mishawaka, IN

Active since November 05, 2024
2410 GRAPE RD STE 1, MISHAWAKA, IN 46545(574) 298-7733 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Nov 5, 2024 (2 updates tracked since 2024).

About Libby Lake Counseling Llc NPPES

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

LIBBY LAKE COUNSELING LLC (NPI 1205659554) is a healthcare organization registered as a professional in Mishawaka, Indiana and active in the NPI registry since November 2024. The organization lists Elizabeth Lake, Licensed Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1205659554
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLIBBY LAKE COUNSELING LLC
Location Address2410 GRAPE RD STE 1Mishawaka, IN 46545-3015
Mailing Address2410 Grape Rd Ste 1Mishawaka, IN 46545-3015 · (574) 298-7733
Organization SubpartNo
Authorized OfficialElizabeth LakeLicensed Mental Health Counselor · (574) 298-7733
Enumeration DateNovember 5, 2024
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1205659554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2410 GRAPE RD STE 1, Mishawaka, IN 46545

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Psychologist (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Psychologist (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Social Worker (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Counselor (Mental Health)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545
Social Worker (Clinical)
2410 GRAPE RD STE 1
MISHAWAKA, IN 46545

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 Libby Lake Counseling LLC's NPI number?

The NPI number for Libby Lake Counseling LLC is 1205659554. It was assigned to this organization in the NPPES registry on November 5, 2024.

Where is Libby Lake Counseling LLC located?

Libby Lake Counseling LLC is located at 2410 Grape Rd Ste 1, Mishawaka, IN 46545. The listed phone number is (574) 298-7733.

What is Libby Lake Counseling 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 Libby Lake Counseling LLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.