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ROBERT VANDERWAL MS, LMHC
NPI 1265867204
Counselor - Mental Health in Mishawaka, IN

Active since September 10, 2013PECOS Enrolled
1818 WENT AVE, MISHAWAKA, IN 46545(574) 254-0229(574) 254-0188 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2018, Mar 31, 2017 (2 updates tracked since 2017).

About Robert Vanderwal Ms, Lmhc NPPES

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

ROBERT VANDERWAL MS, LMHC (NPI 1265867204) is an individual mental health provider in Mishawaka, Indiana, licensed in Indiana (39002492A) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265867204
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT VANDERWALCredential: MS, LMHC
Location Address1818 WENT AVEMishawaka, IN 46545
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928 · Fax (765) 741-0335
Phone(574) 254-0229
Fax(574) 254-0188
Sole ProprietorNo
Enumeration DateSeptember 10, 2013
Last NPPES UpdateJuly 31, 20182 updates tracked since enumeration
✔ NPI 1265867204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39002492A
1818 WENT AVE, Mishawaka, IN 46545
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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)

Robert Vanderwal Ms, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

AMANDA EINSELEN LMHC
Counselor (Mental Health)
1818 WENT AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 254-0229
KRYSTINA DAVIS LMHC
Counselor (Mental Health)
1818 WENT AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 254-0229
ELIZABETH KERNS
Counselor
1818 WENT AVE, SUITE A
MISHAWAKA, IN 46545
St. Joseph County (765) 288-1928
MR. SCOTT R. TAFELSKI M.A., L.M.H.C.
Counselor (Mental Health)
1818 WENT AVE, SUITE A
MISHAWAKA, IN 46545
St. Joseph County (765) 288-1928
MELISSA A DIETZ LSW
Social Worker
1818 WENT AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 254-0229

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 Robert Vanderwal's NPI number?

The NPI number for Robert Vanderwal is 1265867204. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Robert Vanderwal located?

Robert Vanderwal practices at 1818 Went Ave, Mishawaka, IN 46545. The listed phone number is (574) 254-0229.

What is Robert Vanderwal's specialty?

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

Is Robert Vanderwal enrolled in Medicare?

Yes. Robert Vanderwal is registered in the Medicare PECOS enrollment system.

What insurance does Robert Vanderwal accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Robert Vanderwal 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 Robert Vanderwal was last updated on July 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.