Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Street Holdings LLC

Organization Mental Health Counselor · NPI 1548195993

Jefferson Street Holdings LLC is a Mental Health Counselor in Marengo, Indiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2235 E State Road 64
Marengo, IN 47140-8725
Phone: (812) 501-0308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1548195993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Glass — Ceo · (812) 501-0308
Other names The Little Green Door
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address2235 E State Road 64, Marengo, IN 47140-8725

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