Individual ProviderLinden NiewenhuisCounselorBehavioral Health & Social Service ProvidersPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138(219) 465-4765(219) 477-5646PECOS EnrollmentBased on the most recent information from CMS, provider Linden Niewenhuis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1578277166Provider TypeIndividualFull NameNiewenhuis, LindenCredentialLMHCAGenderMaleSole ProprietorNoEnumeration Date1/9/2023Last Updated10/24/2024Contact InformationPractice LocationPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 465-4765Fax(219) 728-4765Mailing LocationMailing Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 477-5646Fax(219) 728-4765Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense88001894AIndiana