Individual provider Active NPI

Darren Eisenmann, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1013499250
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003411A Issued in IN
Practice address
1910 Saint Joe Center Rd Ste 23
Fort Wayne, IN 46825-5000
Phone
(260) 484-5599
NPI assigned
Sep 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003411A IN Primary

Addresses

Primary practice location

1910 Saint Joe Center Rd Ste 23
Fort Wayne, IN 46825-5000

Mailing address

9711 Pioneer TRL
Leo, IN 46765-9692
Phone (765) 490-5440

Other practice location 1

1720 Beacon St
Fort Wayne, IN 46805-4749
Phone (260) 373-8015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902000217 IN Practitioner - Mental Health Counselor 0941701890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeworks Counseling and Consulting, Inc.Group PAC ID 6204986573, 7 clinicians

Practice addresses (Care Compare)

6202 Constitution Dr
Suite D
Fort Wayne, IN 46804-1583
Phone 2604320066301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Enterprises, LLC CurrentSince Nov 1, 2023 Accepting new patients
Dunn Associates PC Mental Health CurrentSince Sep 8, 2019 Accepting new patients
Lifeworks Counseling & Consulting, Inc. CurrentSince Aug 11, 2025 Accepting new patients

Locations

1910 Saint Joe Center Rd
Ste 23
Fort Wayne, IN 46825
Phone (260) 484-5533

6202 Constitution Dr
Ste D
Fort Wayne, IN 46804
Phone (260) 432-0066

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1013499250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 PIONEER TRL",
            "city": "LEO",
            "state": "IN",
            "postal_code": "467659692",
            "telephone_number": "765-490-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD STE 23",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-484-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054749",
            "country_code": "US",
            "telephone_number": "260-373-8015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENMANN",
        "first_name": "DARREN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003411A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.