=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679182208
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHOOSE JOY COUNSELING SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2020
-----------------------------------------------------
Last Update Date | 03/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 313 E WATERFORD ST
-----------------------------------------------------
City | WAKARUSA
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46573-9533
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 574-209-2800
-----------------------------------------------------
Fax | 888-412-1641
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 313 E WATERFORD ST
-----------------------------------------------------
City | WAKARUSA
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46573-9533
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 574-209-2800
-----------------------------------------------------
Fax | 888-412-1641
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE MEMBER/OWNER
-----------------------------------------------------
Name | JOY BETH LAMPTON
-----------------------------------------------------
Credential | LCSW, LMSW
-----------------------------------------------------
Telephone | 574-209-2800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------