Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417401167 Individual Practitioner Female Practitioner

Mary Susan Thuillard

Counselor • Lagrange, IN

Professional Overview & Biography Verified Profile Summary

Mary Thuillard is a registered healthcare professional specializing in Counselor in Lagrange, IN. Practice services are available at 2155 N STATE ROAD 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2155 N State Road 9

Lagrange, IN 467618746

Telephone 2604637144
Fax 2604637146
Associated Practice Facility / Clinic
🏢 Northeastern Center, Inc Facility NPI 1023125705

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lagrange, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Lagrange, IN (1327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1083030126

Master of Social Work

Kelsie Deeds , LCSW

Social Worker - Clinical

NPI 1336564905

Licensed Clinical Social Worker

Nicole Johnson-Smith

Counselor - Mental Health

NPI 1548816374
Kimberly Luczkowski , MSW, LCSW

Social Worker - Clinical

NPI 1700116738

Master of Social Work, Licensed Clinical Social Worker

Kaitlin Shaffer , LMHC

Counselor - Mental Health

NPI 1831964170

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2016

Registered at 2155 N STATE ROAD 9, LAGRANGE, IN 467618746 (Tel: 2604637144)

📍
Updated Business Mailing Address August 11, 2016

Registered at PO BOX 817, KENDALLVILLE, IN 467550817 (Tel: 2603472453)

👤
Provider Name / Credentials Updated August 11, 2016

Recorded as MARY THUILLARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Counselor

🟢
Initial NPI Registration & Enumeration August 11, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417401167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2016
Last Update: August 11, 2016
Sole Proprietor: No

Mailing Address

Po Box 817

Kendallville, IN 467550817

Phone: 2603472453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.