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
- 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
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 DirectoryNPI 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
- 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
- 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.