Active NPI
Maya Dannaoui
- Mental Health Counselor
- Fort Wayne, IN
National Provider Identifier
1124802392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3201 Stellhorn Rd
Fort Wayne, IN 46815-4697 - Phone
- (260) 205-8644
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3201 Stellhorn Rd
Fort Wayne, IN 46815-4697
Mailing address
5651 Coventry LN # 112
Fort Wayne, IN 46804-7145
Phone (260) 205-8644
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaedtke Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
5651 Coventry Ln
Fort Wayne, IN 46804
Phone (260) 205-8644
3201 Stellhorn Rd
Fort Wayne, IN 46815
Phone (215) 645-2084
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1124802392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 COVENTRY LN # 112",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047145",
"telephone_number": "260-205-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 STELLHORN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154697",
"telephone_number": "260-205-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNAOUI",
"first_name": "MAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"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 Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.