Organization Active NPI

Gret Machlan LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
National Provider Identifier
1154747632
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRET MACHLAN LLC
Practice address
2200 Lake Ave Ste 125
Fort Wayne, IN 46805-5358
Phone
(260) 203-9059
Fax
(260) 444-2117
NPI assigned
Mar 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Margaret A Machlan, MSW LCSW LCAC
Title
Owner / Clinician
Phone
(260) 203-9059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2200 Lake Ave Ste 125
Fort Wayne, IN 46805-5358

Mailing address

2200 Lake Ave
Suite 125
Fort Wayne, IN 46805-5397
Phone (260) 203-9059

Other names 1

  • Gret Machlan, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gretmachlanllc@gmail.com

National Provider Directory

National Provider Directory

Locations

2200 Lake Ave
Ste 125
Fort Wayne, IN 46805
Phone (260) 203-9059

2112 Inwood Dr
Fort Wayne, IN 46815
Phone (260) 218-8298

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1154747632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LAKE AVE",
            "address_2": "SUITE 125",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055397",
            "telephone_number": "260-203-9059",
            "fax_number": "260-444-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LAKE AVE STE 125",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055358",
            "telephone_number": "260-203-9059",
            "fax_number": "260-444-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRET MACHLAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "MACHLAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CLINICIAN",
        "authorized_official_telephone_number": "260-203-9059",
        "authorized_official_credential": "MSW LCSW LCAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gretmachlanllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "2200 Lake Ave Ste 125",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468055358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gret Machlan, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 18, 2019; 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.