Folx and Friends Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FOLX AND FRIENDS COUNSELING LLC

Practice address

10016 Monticello Blvd
Fort Wayne, IN 46825-2193

Phone

(260) 388-3765

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Wayne Allan Peterson Stephan, LMHCNPI 1427289610

Title

Co-Owner

Phone

(260) 388-3765

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Peterson Stephan, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1427289610
  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1104661693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 MONTICELLO BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252193",
            "telephone_number": "260-388-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 MONTICELLO BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252193",
            "telephone_number": "260-388-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLX AND FRIENDS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON STEPHAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "260-388-3765",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.