COURTNEY KAUCHAK MSW, LCSW
NPI 1740724434
Counselor in South Bend, IN

Q: What is Courtney Kauchak's NPI number?

The NPI number for Courtney Kauchak is 1740724434. It was assigned to this individual provider in the NPPES registry on December 14, 2016.

Q: What is Courtney Kauchak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Kauchak was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2016PECOS Enrolled

3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615(574) 222-2466 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Courtney Kauchak Msw, Lcsw NPPES

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

COURTNEY KAUCHAK MSW, LCSW (NPI 1740724434) is an individual counselor in South Bend, Indiana and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1740724434

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCOURTNEY KAUCHAKCredential: MSW, LCSW

Location Address3220 E JEFFERSON BLVDSouth Bend, IN 46615-3028

Mailing Address68467 Peregrine PerchGoshen, IN 46526-8586 · (574) 529-4620

Phone(574) 222-2466

Sole ProprietorNo

Enumeration DateDecember 14, 2016

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1740724434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3220 E JEFFERSON BLVD, South Bend, IN 46615

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Secondary Practice Location 1

Location 12600 Oakland AveElkhart, IN 46517-1533 · Phone (574) 533-1234 ext. 488 · Fax (574) 537-2652

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Kauchak Msw, Lcsw 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.

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Other Providers at the Same Location NPPES 20

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

ERIN CLAIRE LARKIN

Counselor (Mental Health)