Organization Active NPI

Janet Naish Counseling Services LLC

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1154894749
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JANET NAISH COUNSELING SERVICES LLC
Practice address
615 W Foster Pkwy
Fort Wayne, IN 46807-2205
Phone
(260) 403-3961
Fax
(260) 744-3714
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Janet M Naish, LCSWNPI 1629204524
Title
Owner
Phone
(260) 403-3961

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

615 W Foster Pkwy
Fort Wayne, IN 46807-2205

Mailing address

615 W Foster Pkwy
Fort Wayne, IN 46807-2205
Phone (260) 403-3961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190405000666 IN Part B Supplier - Clinic/Group Practice 4183965858 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

615 W Foster Pkwy
Fort Wayne, IN 46807
Phone (260) 402-1824

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": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1154894749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W FOSTER PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072205",
            "telephone_number": "260-403-3961",
            "fax_number": "260-744-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W FOSTER PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072205",
            "telephone_number": "260-403-3961",
            "fax_number": "260-744-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET NAISH COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "NAISH",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-403-3961",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.