OrganizationActive
Life Mentoring Inc.
NPI 1235773664 · Adolescent and Children Mental Health Clinic/Center · Crown Point, IN
Provider details
- NPI number
- 1235773664
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Dutko, Co-Partner(219) 730-2909
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
123 Harrington Ave Apt 2b
Crown Point, IN 46307-3843
Phone: (219) 730-2909
Street-level locationGet directions
Mailing address
123 Harrington Ave Apt 2b
Crown Point, IN 46307-3843
Registry dates
- Enumerated
- 2019-10-29
- Last updated
- 2019-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.