Individual provider Active NPI

Amanda Paige Fluck, MS, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1124820667
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005731A Issued in IN
Practice address
1400 Airport North Office Park Ste D
Fort Wayne, IN 46825-6723
Phone
(260) 702-9141
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88002020A IN
Mental Health Counselor 101YM0800X 39005731A IN Primary
Counselor 101Y00000X 88002020A IN

Addresses

Primary practice location

1400 Airport North Office Park Ste D
Fort Wayne, IN 46825-6723

Mailing address

2340 Plateau PT
Fort Wayne, IN 46808-3556
Phone (765) 252-8179

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39005731AINMDMental Health Counselor
88002020AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Torres Behavioral Health LLC Counselor 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.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1124820667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PLATEAU PT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468083556",
            "telephone_number": "765-252-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AIRPORT NORTH OFFICE PARK STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256723",
            "telephone_number": "260-702-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUCK",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88002020A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005731A",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "88002020A",
            "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 Nov 12, 2025; 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.