Organization Active NPI

Cynthia Probst LMHC LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
National Provider Identifier
1053964866
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jul 20, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.