Libby Lake Counseling LLC
NPI 1205659554 · Professional Counselor · Mishawaka, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Libby Lake Counseling LLC is a Professional Counselor organization in Mishawaka, IN (NPI 1205659554).
Provider details
- NPI number
- 1205659554
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Lake, Licensed Mental Health Counselor(574) 298-7733
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-05
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Frequently asked questions
- What is Libby Lake Counseling LLC's NPI number?
- Libby Lake Counseling LLC's National Provider Identifier (NPI) is 1205659554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Libby Lake Counseling LLC?
- Libby Lake Counseling LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Libby Lake Counseling LLC located?
- Libby Lake Counseling LLC's practice location on file with NPPES is 2410 Grape Rd Ste 1, Mishawaka, IN 46545-3015.
- What is Libby Lake Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Libby Lake Counseling LLC is (574) 298-7733.
- Does Libby Lake Counseling LLC accept Medicare?
- Libby Lake Counseling LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Libby Lake Counseling LLC?
- The authorized official listed on Libby Lake Counseling LLC's NPPES record is Elizabeth Lake, Licensed Mental Health Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Libby Lake Counseling LLC's NPI active?
- Yes — Libby Lake Counseling LLC's NPI (1205659554) is active in the NPPES registry as of the last update on 2024-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.