KELLY EBERHART
NPI 1225901382
Counselor - Mental Health in South Bend, IN
About Kelly Eberhart NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY EBERHART (NPI 1225901382) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (34011337A) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Eberhart is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
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 Kelly Eberhart's NPI number?
The NPI number for Kelly Eberhart is 1225901382. It was assigned to this individual provider in the NPPES registry on September 25, 2025.
Where is Kelly Eberhart located?
Kelly Eberhart practices at 17195 Cleveland Rd, South Bend, IN 46635. The listed phone number is (574) 277-0274.
What is Kelly Eberhart's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Eberhart enrolled in Medicare?
Yes. Kelly Eberhart is registered in the Medicare PECOS enrollment system.
What insurance does Kelly Eberhart accept?
Health plans from UnitedHealthcare list Kelly Eberhart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Eberhart was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelly Eberhart · NPI 1225901382
Mental Health provider in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since September 25, 2025.
## Identity
- **NPI:** 1225901382 (Entity type: Individual)
- **Enumerated:** September 25, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 34011337A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 17195 CLEVELAND RD, South Bend, IN 46635-1415
- **Phone:** (574) 277-0274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225901382) · Data from the CMS NPPES public registry.