Organization Active NPI

Mainstay Music Therapy, Inc

  • Music Therapist
  • Fort Wayne, IN
National Provider Identifier
1154788032
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Legal business name
MAINSTAY MUSIC THERAPY, INC
Practice address
10812 Coldwater Rd Ste 400
Fort Wayne, IN 46845-1204
Phone
(260) 409-8246
NPI assigned
Jan 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Allison Thomas, MT-BCNPI 1427345602
Title
Ceo/Owner
Phone
(260) 494-1624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225A00000X Primary

Addresses

Primary practice location

10812 Coldwater Rd Ste 400
Fort Wayne, IN 46845-1204

Mailing address

1910 Saint Joe Center Rd Ste 44
Fort Wayne, IN 46825-5000
Phone (260) 494-1624

Other identifiers 1

IdentifierTypeStateIssuer
201028040 AOtherINMEDICAID WAIVER LEGACY NUMBER

National Provider Directory

National Provider Directory

Locations

10812 Coldwater Rd
Ste 400
Fort Wayne, IN 46845
Phone (260) 409-8246

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1154788032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD STE 44",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-494-1624",
            "fax_number": "260-494-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 COLDWATER RD STE 400",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451204",
            "telephone_number": "260-409-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTAY MUSIC THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "260-494-1624",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER LEGACY NUMBER",
            "identifier": "201028040 A",
            "state": "IN"
        }
    ],
    "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 Sep 14, 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.

Verify at the official NPI Registry.