Organization Active NPI

Verity Trauma Counseling

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1174333173
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VERITY TRAUMA COUNSELING
Practice address
2250 Lake Ave Ste 170
Fort Wayne, IN 46805-5357
Phone
(260) 271-3889
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Ellen Shannon, LMHCNPI 1841940145
Title
Owner
Phone
(260) 271-3889

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2250 Lake Ave Ste 170
Fort Wayne, IN 46805-5357

Mailing address

2250 Lake Ave Ste 170
Fort Wayne, IN 46805-5357
Phone (260) 271-3889

National Provider Directory

National Provider Directory

Locations

2250 Lake Ave
Ste 170
Fort Wayne, IN 46805
Phone (260) 271-3889

Practitioners & affiliated clinicians

Practitioners 1

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": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1174333173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 LAKE AVE STE 170",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055357",
            "telephone_number": "260-271-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LAKE AVE STE 170",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055357",
            "telephone_number": "260-271-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERITY TRAUMA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-271-3889",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 10, 2025; 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.