Healthcare Provider Details

I. General information

NPI: 1861319782
Provider Name (Legal Business Name): ALISON WESTERINK LMHC, CT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3516 E JEFFERSON BLVD
SOUTH BEND IN
46615-3034
US

IV. Provider business mailing address

1826 ALTGELD ST
SOUTH BEND IN
46614-1604
US

V. Phone/Fax

Practice location:
  • Phone: 574-287-4197
  • Fax:
Mailing address:
  • Phone: 574-366-0663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39006095A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: