NPIMap

Organization Active NPI

Bonnie Kiser LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
National Provider Identifier
1225427586
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
35001593A Issued in IN
Legal business name
BONNIE KISER LLC
Practice address
10315 Dawsons Creek Blvd
Fort Wayne, IN 46825-1912
Phone
(260) 387-6340
Fax
(260) 387-6984
NPI assigned
Jan 9, 2015
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Bonnie Kiser, LMFT
Title
Marriage and Family Therapist
Phone
(260) 710-5651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 35001593A IN Primary

Addresses

Primary practice location

10315 Dawsons Creek Blvd
Fort Wayne, IN 46825-1912

Mailing address

8121 Hanauer Rd
Fort Wayne, IN 46818-1897

National Provider Directory

National Provider Directory

Locations

10315 Dawsons Creek Blvd
Fort Wayne, IN 46825
Phone 2603876340 ext. 103

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1225427586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 HANAUER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340",
            "fax_number": "260-387-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE KISER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "260-710-5651",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "35001593A",
            "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 9, 2015; 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.