Active NPI
Fort Wayne Mental Health Therapy LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
National Provider Identifier
1184547259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FORT WAYNE MENTAL HEALTH THERAPY LLC
- Practice address
- 6319 Mutual Dr Ste F
Fort Wayne, IN 46825-4246 - Phone
- (260) 209-4388
- NPI assigned
- Aug 4, 2026
- Last updated
- Aug 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyse Piazza, LMHC.
- Title
- Ceo
- Phone
- (260) 385-8744
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
6319 Mutual Dr Ste F
Fort Wayne, IN 46825-4246
Mailing address
6319 Mutual Dr Ste F
Fort Wayne, IN 46825-4246
Phone (260) 209-4388
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Fort Wayne, IN
- NPI 1902248735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1184547259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319 MUTUAL DR STE F",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468254246",
"telephone_number": "260-209-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6319 MUTUAL DR STE F",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468254246",
"telephone_number": "260-209-4388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE MENTAL HEALTH THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "PIAZZA",
"authorized_official_first_name": "ALYSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "260-385-8744",
"authorized_official_credential": "LMHC."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Fort Wayne Medical Oncology & Hemat (Ft Wayne Med Oncology and Hematology)
- Fort Wayne Medical Oncology and Hematology Inc
- Fort Wayne Medical Oncology and Hematology Inc
- Fort Wayne Medical Oncology and Hematology, Inc
- Fort Wayne Mental Health
- Fort Wayne Neurofeedback, LLC
- Fort Wayne Neuropsychology LLC
- Fort Wayne Nursing and Rehabilitation LLC (Strive Recovery)
- Fort Wayne Ophthalmic Surgical Center, PC
- Fort Wayne Ophthalmology, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.