KIM ENYART (NPI# 1770819476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770819476 |
| Entity Type | Individual |
| Full Name | KIM ENYART |
| Credential | MFTA |
| Practice Address |
415 E Madison St South Bend IN 46617-2322 |
| Mailing Address |
285 Bielby Rd Lawrenceburg IN 47025-1055 |
| Practice Telephone | 5745331234 |
| Practice Fax Number | 5745372652 |
| Mailing Telephone | 8125371302 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
415 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287950 | Amanda Jane Duddleson | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2005-10-04 |
| 1144829961 | Allen O'carey | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-22 |
| 1922607779 | Tekona Henry | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-22 |
| 1093314452 | Darell Ezell II | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-18 |
| 1386243749 | Karen Bruening | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-18 |
| 1457966988 | Kelly Holst-haley | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-09-11 |
| 1942814694 | Bailey Ritsema | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-09-01 |
| 1053924662 | Seanell Williams | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-25 |
| 1285247890 | Dana A Taylor | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-25 |
| 1245840040 | Mathew Peters | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-06 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1598973968 | Pamela Calvano | Marriage & Family Therapist | 818 E Jefferson Blvd, South Bend, IN 46617-2905 | 2007-05-18 |
| 1811105216 | Jeremiah M Wright | Marriage & Family Therapist | 105 E Jefferson Blvd Ste 310, South Bend, IN 46601-1995 | 2007-05-18 |
| 1477675973 | Thomas Petersen | Marriage & Family Therapist | 115 S Saint Peter St, South Bend, IN 46617-2912 | 2007-04-04 |
| 1508996471 | Jamie Lynn Herring | Marriage & Family Therapist | 2025 Edison Rd Ste A, South Bend, IN 46637-5600 | 2007-03-07 |
| 1952902009 | Amanda Marie Richhart | Marriage & Family Therapist | 105 E Jefferson Blvd Ste 310, South Bend, IN 46601-1995 | 2020-11-05 |
| 1154899896 | Wright Directions Counseling Services | Marriage & Family Therapist | 105 E Jefferson Blvd Ste 310, South Bend, IN 46601-1995 | 2018-11-12 |
| 1740633239 | Julie Perron | Marriage & Family Therapist | 105 E Jefferson Blvd, Ste 310, South Bend, IN 46601-1922 | 2016-07-19 |
| 1225312994 | Elsa Byler Casault | Marriage & Family Therapist | 315 W Jefferson Blvd, South Bend, IN 46601-1512 | 2011-09-29 |
| 1326285495 | Midwest Institute of Training and Development | Marriage & Family Therapist | 211 W Washington St, Ste 1910, South Bend, IN 46601-1711 | 2009-01-12 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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| 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.