Life and Trauma Survivor Center LLC
NPI 1619432119 · Mental Health Counselor · Valparaiso, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life and Trauma Survivor Center LLC is a Mental Health Counselor organization in Valparaiso, IN (NPI 1619432119).
Provider details
- NPI number
- 1619432119
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sherrie Shivok, Owner(219) 241-0212
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
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
7 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
Mailing address
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Frequently asked questions
- What is Life and Trauma Survivor Center LLC's NPI number?
- Life and Trauma Survivor Center LLC's National Provider Identifier (NPI) is 1619432119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life and Trauma Survivor Center LLC?
- Life and Trauma Survivor Center LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Life and Trauma Survivor Center LLC located?
- Life and Trauma Survivor Center LLC's practice location on file with NPPES is 402 Wall St Ste 42, Valparaiso, IN 46383-2572.
- What is Life and Trauma Survivor Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Life and Trauma Survivor Center LLC is (219) 510-8043.
- Does Life and Trauma Survivor Center LLC accept Medicare?
- Life and Trauma Survivor Center 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 Life and Trauma Survivor Center LLC?
- The authorized official listed on Life and Trauma Survivor Center LLC's NPPES record is Sherrie Shivok, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life and Trauma Survivor Center LLC's NPI active?
- Yes — Life and Trauma Survivor Center LLC's NPI (1619432119) is active in the NPPES registry as of the last update on 2024-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.