IndividualActive
Jackie Kolstad-Blanchaed, MA
NPI 1740310895 · Counselor · South Bend, IN
Jackie Kolstad-Blanchaed, MA is a Counselor provider in South Bend, IN (NPI 1740310895).
Provider details
- NPI number
- 1740310895
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
403 E Madison St
South Bend, IN 46617-2322
Phone: (574) 283-1107
Fax: (574) 283-1131
Street-level locationGet directions
Mailing address
403 E Madison St
South Bend, IN 46617-2322
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jackie Kolstad-Blanchaed's NPI number?
- Jackie Kolstad-Blanchaed's National Provider Identifier (NPI) is 1740310895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Kolstad-Blanchaed's specialty?
- Jackie Kolstad-Blanchaed is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jackie Kolstad-Blanchaed located?
- Jackie Kolstad-Blanchaed's practice location on file with NPPES is 403 E Madison St, South Bend, IN 46617-2322.
- What is Jackie Kolstad-Blanchaed's phone number?
- The practice phone number listed in the NPPES registry for Jackie Kolstad-Blanchaed is (574) 283-1107.
- Is Jackie Kolstad-Blanchaed's NPI active?
- Yes — Jackie Kolstad-Blanchaed's NPI (1740310895) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.