Individual provider Active NPI

Vanessa Jones, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1144664574
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002455A Issued in IN
Practice address
2712 S Calhoun St
Fort Wayne, IN 46807-1402
Phone
(260) 744-4326
Fax
(260) 744-0188
NPI assigned
Apr 29, 2013
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002455A IN Primary

Addresses

Primary practice location

2712 S Calhoun St
Fort Wayne, IN 46807-1402

Mailing address

2712 S Calhoun St
Fort Wayne, IN 46807-1402
Phone (260) 744-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130001401 IN Practitioner - Mental Health Counselor 1759734478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Therapy Services LLCGroup PAC ID 0749712156, 2 clinicians

Practice addresses (Care Compare)

3030 Lake Ave
Suite 23
Fort Wayne, IN 46805-5428
Phone (260) 267-5631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Therapy Services LLC Mental Health CurrentSince Jul 11, 2024 Accepting new patients
Family & Childrens Service of Fort Wayne Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

2712 S Calhoun St
Fort Wayne, IN 46807
Phone (219) 744-4326

3030 Lake Ave
Ste 23
Fort Wayne, IN 46805
Phone (260) 267-5631

3030 Lake Ave
Ste 27
Fort Wayne, IN 46805
Phone (260) 267-5631

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1144664574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 S CALHOUN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071402",
            "telephone_number": "260-744-4326",
            "fax_number": "260-744-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 S CALHOUN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071402",
            "telephone_number": "260-744-4326",
            "fax_number": "260-744-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "VANESSA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002455A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.