JENNIFER A DIAZ LMHC
NPI 1962361212
Counselor - Mental Health in South Bend, IN
About Jennifer A Diaz Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER A DIAZ LMHC (NPI 1962361212) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (39005768A) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer A Diaz Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Jennifer Diaz's NPI number?
The NPI number for Jennifer Diaz is 1962361212. It was assigned to this individual provider in the NPPES registry on January 21, 2026.
Where is Jennifer Diaz located?
Jennifer Diaz practices at 415 E Madison St, South Bend, IN 46617. The listed phone number is (574) 533-1234.
What is Jennifer Diaz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jennifer Diaz enrolled in Medicare?
Yes. Jennifer Diaz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jennifer Diaz was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jennifer A Diaz, LMHC · NPI 1962361212
Mental Health provider in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since January 21, 2026.
## Identity
- **NPI:** 1962361212 (Entity type: Individual)
- **Enumerated:** January 21, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39005768A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 E MADISON ST, South Bend, IN 46617-2322
- **Phone:** (574) 533-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962361212) · Data from the CMS NPPES public registry.