Active NPI
Sakshi Kapur, NCC
- Psychologist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20043795A
- Practice address
- 1720 Beacon St
Fort Wayne, IN 46805-4749 - Phone
- (260) 373-8000
- Fax
- (260) 373-8034
- NPI assigned
- Oct 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 20043795A | IN | Primary |
Addresses
Primary practice location
1720 Beacon St
Fort Wayne, IN 46805-4749
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
909 E State Blvd
Fort Wayne, IN 46805-3404
Phone (260) 481-2700
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618001918 | IN | Practitioner - Clinical Psychologist | 7113460254 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 Beacon St
Fort Wayne, IN 46805-4749
Phone (260) 373-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System, Inc. | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients | |
| Park Center Inc | Current | Accepting new patients | |
| Park Center Inc | Current | Accepting new patients |
Locations
1720 Beacon St
Fort Wayne, IN 46805
Phone (260) 373-7500
909 E State Blvd
Fort Wayne, IN 46805
Phone (260) 481-2718
1909 Carew St
Fort Wayne, IN 46805
Phone (260) 481-2800
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
- NPI 1306897004
IN
-
- Psychiatric Hospital
- Fort Wayne, IN
- NPI 1457772402
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1174034896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 BEACON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054749",
"telephone_number": "260-373-8000",
"fax_number": "260-373-8034"
}
],
"practiceLocations": [
{
"address_1": "909 E State Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468053404",
"country_code": "US",
"telephone_number": "260-481-2700",
"fax_number": "260-481-2838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPUR",
"first_name": "SAKSHI",
"credential": "NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20043795A",
"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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.