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

Kelly Eberhart

Individual provider Mental Health Counselor · NPI 1225901382

Kelly Eberhart is a Clinical Social Worker in South Bend, Indiana. Qualified in 2024, 2 years ago. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2025
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Practice location Address checks out

17195 Cleveland Rd
South Bend, IN 46635-1415
Phone: (574) 277-0274
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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 · Licence 34011337A (IN)

Record details

NPI number1225901382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address17195 Cleveland Rd, South Bend, IN 46635-1415

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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