Individual provider Active NPI

Wendy Griffin-Allen, LMFT

  • Marriage & Family Therapist
  • Fort Wayne, IN
National Provider Identifier
1073601803
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001490A Issued in IN
Practice address
1825 Beacon St
Fort Wayne, IN 46805-4750
Phone
(260) 484-4153
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001490A IN Primary

Addresses

Primary practice location

1825 Beacon St
Fort Wayne, IN 46805-4750

Mailing address

1825 Beacon St
Fort Wayne, IN 46805-4750
Phone (260) 484-4153

Other practice location 1

330 Red Eagle Pass
Fort Wayne, IN 46845-1177
Phone (260) 247-6794

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
35001490AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroad Child & Family Services, Inc. CurrentSince Feb 18, 2024 Accepting new patients
Crossroad - Fort Wayne Childrens Home PastSince Dec 12, 2021 Accepting new patients
Nationwide Medical Group, Inc Past Accepting new patients
Nationwide Medical Group, Inc Past Accepting new patients

Locations

1825 Beacon St
Fort Wayne, IN 46805
Phone (260) 484-4153

Organizations & group practices 4

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1073601803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054750",
            "telephone_number": "260-484-4153",
            "fax_number": "260-484-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054750",
            "telephone_number": "260-484-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Red Eagle Pass",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451177",
            "country_code": "US",
            "telephone_number": "260-247-6794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN-ALLEN",
        "first_name": "WENDY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001490A",
            "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 Jun 26, 2026; 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.