Active NPI
Dennis Lee Howard, MA
- Mental Health Counselor
- Fort Wayne, IN
National Provider Identifier
1124036405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001368A
- Practice address
- 2821 Hillegas Rd
Fort Wayne, IN 46808-3859 - Phone
- (260) 471-1950
- Fax
- (260) 471-1950
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 35000317A | IN | |
| Mental Health Counselor | 101YM0800X | 39001368A | IN | Primary |
| Clinical Social Worker | 1041C0700X | 35000317A | IN |
Addresses
Primary practice location
2821 Hillegas Rd
Fort Wayne, IN 46808-3859
Mailing address
4004 Nottingham Dr
Fort Wayne, IN 46815-5536
Phone (260) 471-1950
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35000317A | IN | MD | Counselor |
| 39001368A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center | Mental Health | Past | 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.
-
- Mental Health Counselor
- Fort Wayne, IN
- NPI 1407877657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1124036405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 NOTTINGHAM DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155536",
"telephone_number": "260-471-1950",
"fax_number": "260-471-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 HILLEGAS RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468083859",
"telephone_number": "260-471-1950",
"fax_number": "260-471-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "DENNIS",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "35000317A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001368A",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "35000317A",
"primary": false
}
],
"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 Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.