Individual provider Active NPI

Nkululeko Sympathy Ndlovu

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1053112151
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005337A Issued in IN
Practice address
10402 Oak Trail Rd
Fort Wayne, IN 46845-6114
Phone
(574) 401-9792
NPI assigned
Mar 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 39005337A IN Primary

Addresses

Primary practice location

10402 Oak Trail Rd
Fort Wayne, IN 46845-6114

Mailing address

10402 Oak Trail Rd
Fort Wayne, IN 46845-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39005337AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unfolding Journeys Therapy Mental Health CurrentSince Dec 7, 2025 Accepting new patients

Organizations & group practices 1

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1053112151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 OAK TRAIL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468456114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 OAK TRAIL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468456114",
            "telephone_number": "574-401-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDLOVU",
        "first_name": "NKULULEKO",
        "middle_name": "SYMPATHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005337A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 24, 2025; 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.