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 provides Mental Health Counselor services 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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