IndividualActive
Jeremy Waddell, MA, LMHCA, NCC
NPI 1235541244 · Mental Health Counselor · Crown Point, IN
Provider details
- NPI number
- 1235541244
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LMHCA, NCC
- Sex
- Male
- Sole proprietor
- No
- License
- 88000022A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1308 N Main Street
Crown Point, IN 46307
Phone: (219) 663-6353
Street-level locationGet directions
Mailing address
1308 N Main St
Crown Point, IN 46307-3278
Additional practice locations (1)
- 250 N Main StCrown Point, IN 46307-3278Phone: (219) 663-6353
Registry dates
- Enumerated
- 2014-05-25
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.