OrganizationActive
1 Identity Counseling, LLC
NPI 1740795640 · Mental Health Counselor · Bedford, IN
Provider details
- NPI number
- 1740795640
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jenelle Linden, Member Owner(812) 902-8007
- License
- 39002692A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1501 J St
Bedford, IN 47421-3847
Phone: (812) 902-8007
Street-level locationGet directions
Mailing address
1501 J St
Bedford, IN 47421-3847
Additional practice locations (1)
- 23950 City Center CirMattawan, MI 49071-8377Phone: (269) 808-1628
Registry dates
- Enumerated
- 2017-12-13
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.