NPIMap

Organization Active NPI

Kurt H. Gregory D.B.a. Family Support Services of Northen Indiana

  • Marriage & Family Therapist
  • Fort Wayne, IN
National Provider Identifier
1023098134
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001414A Issued in IN
Legal business name
KURT H. GREGORY D.B.A. FAMILY SUPPORT SERVICES OF NORTHEN INDIANA
Practice address
7311B W Jefferson Blvd
Fort Wayne, IN 46804-6237
Phone
(260) 432-2311
Fax
(260) 432-2311
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Kurt H. Gregory, L.M.F.T.NPI 1346419900
Title
Owner
Phone
(260) 244-0057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 35001414A IN Primary

Addresses

Primary practice location

7311B W Jefferson Blvd
Fort Wayne, IN 46804-6237

Mailing address

7311B W Jefferson Blvd
Fort Wayne, IN 46804-6237
Phone (260) 432-2311

Other names 1

  • Aboite Counseling and Therapy Group Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1023098134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311B W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046237",
            "telephone_number": "260-432-2311",
            "fax_number": "260-432-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311B W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046237",
            "telephone_number": "260-432-2311",
            "fax_number": "260-432-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT H. GREGORY D.B.A. FAMILY SUPPORT SERVICES OF NORTHEN INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-244-0057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001414A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aboite Counseling and Therapy Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.