DIANA D MITCHELL


Address: 403 E Madison St, South Bend, IN 46617-2322
Phone: 5742831107

DIANA D MITCHELL (NPI# 1467582510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467582510
Entity Type Individual
Full Name DIANA D MITCHELL
Credential MA
Practice Address 403 E Madison St
South Bend
IN 46617-2322
Mailing Address 417 S Cass St
Berrien Springs
MI 49103-1205
Practice Telephone 5742831107
Practice Fax Number 5742831131
Enumeration Date 2007-03-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers DIANA MITCHELL

NPI Name Taxonomy Address Enumeration
1366893455 Diana J Mitchell Licensed Practical Nurse 203 W Maple Ave, Newark, NY 14513-2004 2016-06-29
1710135074 Diana Mitchell Physical Therapy Assistant 950 Bay St Apt 8, San Francisco, CA 94109-1109 2008-08-28
1194353706 Diana Nicole Mitchell Student in an Organized Health Care Education/Training Program 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2020-03-30
1548543267 Diana Mitchell Pharmacist 1402 Sheepshead Bay Rd, Brooklyn, NY 11235-3814 2011-09-20
1083881650 Diana Lily Mitchell Pediatrics 1675 W Dempster St, Park Ridge, IL 60068-1110 2008-05-13

Office Location

Street Address 403 E MADISON ST
City SOUTH BEND
State IN
Zip Code 46617-2322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164497962 Phillip Coffey Social Worker 403 E Madison St, South Bend, IN 46617-2322 2006-02-23
1134534456 Memorial Hospital of South Bend, Inc General Acute Care Hospital 403 E Madison St, South Bend, IN 46617-2322 2014-06-25
1225310402 Susan K Henderson Counselor 403 E Madison St, South Bend, IN 46617-2322 2011-09-14
1154633550 Meladie A Langham Counselor 403 E Madison St, South Bend, IN 46617-2322 2010-07-14
1497067896 Kami S Brenneman Counselor 403 E Madison St, South Bend, IN 46617-2322 2010-07-14
1396064309 Casandra Mcgrew Counselor 403 E Madison St, South Bend, IN 46617-2322 2010-06-01
1124347133 Amanda Jardine Counselor 403 E Madison St, South Bend, IN 46617-2322 2010-06-01
1104141985 Aaron T Gray Counselor 403 E Madison St, South Bend, IN 46617-2322 2010-04-05
1346579679 Linda S Hoppel Counselor 403 E Madison St, South Bend, IN 46617-2322 2009-12-16
1235468570 Michelle M Peters Social Worker 403 E Madison St, South Bend, IN 46617-2322 2009-12-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1225264054 Sridhar Meda Dentist 1005 East Lasalle Ave, South Bend, IN 46617 2009-06-08
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770191892 Baochun Hind Counselor 1205 E Bronson St, South Bend, IN 46615-1141 2020-07-15
1356820765 Roniqua Teshae Roundtree Counselor 53174 Flowing Stream Ct, South Bend, IN 46628-9034 2018-08-08
1760909840 Precious Pals Inc Counselor 1139 E Lasalle Ave, South Bend, IN 46617-3321 2017-08-29
1780053546 Jonathan Rosengren Counselor 415 E Madison Street, South Bend, IN 46617-1109 2015-09-22
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437289469 Randy Nims Counselor 701 N Niles Ave, South Bend, IN 46617-1923 2007-03-07
1609906593 Jenifer R Hill Counselor 227n Dixie Way 140, South Bend, IN 46637-3300 2007-03-07
1396873147 Barbara Lynn Miller Counselor 5024 W Western Ave, South Bend, IN 46619-2312 2007-03-02
1255472643 Deborah Kay Clardy Counselor 53846 Generations Dr, South Bend, IN 46635-1543 2007-02-09
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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