Russell E. Mynhier, MSED, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35002070A Issued in IN

Practice address

6319 Mutual Dr Ste F
Fort Wayne, IN 46825-4246

Phone

(260) 209-4473

NPI assigned

Jun 20, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fort Wayne Counseling Services

  • Marriage & Family Therapist
  • Fort Wayne, IN
  • NPI 1487287371
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1013447242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 MUTUAL DR STE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254246",
            "telephone_number": "260-209-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 MUTUAL DR STE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254246",
            "telephone_number": "260-209-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNHIER",
        "first_name": "RUSSELL",
        "middle_name": "E.",
        "credential": "MSED, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002070A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lea Myers, COTA
• Natasha L. Myers, NP
• Ryan Myers, P.T.A.
• Tasia Myers
• Myeyedr Optometry of Indiana, LLC
• Shalee Myron
• Elizabeth Anne Mysliwiec, FNP
• Andrea Naaum, M.D
• Meriana Nadrous
• Heath Charles Nagel, DC

• Marriage & Family Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.