JOAN LOUISE PONTIUS NPI 1336574748

NPI Information

  • NPI: 1336574748
  • Provider Name: JOAN LOUISE PONTIUS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 219 N DIXIE WAY
    SUITE135
    SOUTH BEND, IN
    ZIP 46637
  • Phone: (574) 360-3305

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NPI Details

JOAN LOUISE PONTIUS is a professional counselor in South Bend, IN. JOAN LOUISE PONTIUS NPI is 1336574748. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

219 N DIXIE WAY
SUITE135
SOUTH BEND, IN
ZIP 46637-369
Phone: (574) 360-3305
Fax: (574) 271-3740

The provider's authorized official is Joan Louise Pontius .
The authorized official title is Therapist and has the following contact phone number (574) 360-3305.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 9/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryINDIANANo
2101YP2500XCounselorProfessionalINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11700138492MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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