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JENNIFER A DIAZ LMHC
NPI 1962361212
Counselor - Mental Health in South Bend, IN

Active since January 21, 2026PECOS Enrolled
415 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1962361212
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER A DIAZCredential: LMHC
Location Address415 E MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234
Phone(574) 533-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1962361212 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 · 39005768A
415 E MADISON ST, South Bend, IN 46617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer A Diaz Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608350798
PECOS Enrollment IDI20260317002718
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oaklawn Psychiatric Center, Inc.
14 mi
Mental Health (Including Community Mental Health Center)
2600 OAKLAND AVE
Elkhart, IN 46517
  • Reassigned Medicare billing, Indiana enrollment
  • 116 clinicians in this Medicare group
NPI 1598847212 (574) 533-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BREANA S BOWSHER MSW
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1234
CLARICE SHEAR MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MRS. CARRIE ANNE BIANCHINI LMHC
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
SHANNA BONTRAGER MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KAREN TANG
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
CHRISTINA MARTIN
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MONICA KUNZ LCSW
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MARIA GALLEGOS MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234

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.

Which organization bills Medicare for Jennifer Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Diaz reassigns Medicare benefits to Oaklawn Psychiatric Center, Inc. (Elkhart, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Diaz accept?

Health plans from CareSource list Jennifer Diaz 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 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 9 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.