Active NPI
Cynthia Probst LMHC LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
National Provider Identifier
1053964866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CYNTHIA PROBST LMHC LLC
- Practice address
- 1025 W Rudisill Blvd Ste 202
Fort Wayne, IN 46807-2168 - Phone
- (260) 423-0032
- NPI assigned
- Jul 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cynthia D Probst, LMHC
- Title
- Owner
- Phone
- (260) 241-5867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1025 W Rudisill Blvd Ste 202
Fort Wayne, IN 46807-2168
Mailing address
4302 S Wayne Ave
Fort Wayne, IN 46807-2645
Phone (260) 241-5867
National Provider Directory
National Provider DirectoryLocations
1025 W Rudisill Blvd
Ste 202
Fort Wayne, IN 46807
Phone (260) 423-0032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563580800000",
"number": "1053964866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 S WAYNE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468072645",
"telephone_number": "260-241-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W RUDISILL BLVD STE 202",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468072168",
"telephone_number": "260-423-0032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA PROBST LMHC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-20",
"last_updated": "2019-07-20",
"status": "A",
"authorized_official_last_name": "PROBST",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-241-5867",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.