Catherine Jantzen, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

39001451A Issued in IN

Legal business name

CATHERINE JANTZEN, LLC

Practice address

6334 Constitution Dr
Fort Wayne, IN 46804-1518

Phone

(260) 213-1300

Fax

(260) 782-3215

NPI assigned

Dec 29, 2016

Last updated

Dec 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Jantzen, LMHCNPI 1669489985

Title

President

Phone

(260) 213-1300

Specialties & licenses 1

Addresses

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.

• Catherine Marie Jantzen, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1669489985
  NPD Authorized official

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1265977268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-213-1300",
            "fax_number": "260-782-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-213-1300",
            "fax_number": "260-782-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE JANTZEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "JANTZEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-213-1300",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39001451A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catalyst Counseling, LLC
• Catalyst for Change Counseling LLC
• Cates & Associates, Inc.
• James Arthur Cates, PH.D., , HSPP, ABPP
• Jeryl Cates
• Catholic Charities of the Diocese of Fort Wayne-South Bend (Catholic Charities)
• Catholic Charities of the Diocese of Fort Wayne-South Bend, Inc. (Catholic Charities)
• Allison H Caudell, RPH
• Gage Manning Caudell, D.P.M.
• Amy S Caudill, RN

• Community/Behavioral Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.