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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JEFFERSON STREET HOLDINGS LLC
NPI 1548195993
Counselor - Mental Health in Marengo, IN

Active since June 16, 2026
2235 E STATE ROAD 64, MARENGO, IN 47140(812) 501-0308 Get Directions Write a Review

NPPES record added: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Street Holdings Llc NPPES

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

JEFFERSON STREET HOLDINGS LLC (NPI 1548195993), doing business as The Little Green Door, is a healthcare organization registered as a mental health in Marengo, Indiana and active in the NPI registry since June 2026. The organization lists Andrea Glass, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548195993
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJEFFERSON STREET HOLDINGS LLC
Location Address2235 E STATE ROAD 64Marengo, IN 47140-8725
Mailing Address2235 E State Road 64Marengo, IN 47140-8725 · (812) 501-0308
Phone(812) 501-0308
Organization SubpartNo
Authorized OfficialAndrea GlassCeo · (812) 501-0308
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1548195993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2235 E STATE ROAD 64, Marengo, IN 47140
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Other Names 1

Doing Business AsThe Little Green Door

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

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 Jefferson Street Holdings LLC's NPI number?

The NPI number for Jefferson Street Holdings LLC is 1548195993. It was assigned to this organization in the NPPES registry on June 16, 2026. The provider is doing business as The Little Green Door.

Where is Jefferson Street Holdings LLC located?

Jefferson Street Holdings LLC is located at 2235 E State Road 64, Marengo, IN 47140. The listed phone number is (812) 501-0308.

What is Jefferson Street Holdings LLC'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 Jefferson Street Holdings LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.