Andrew Bautz, MA, LMFT
Individual provider Active NPI Marriage & Family Therapist · North Webster, IN
NPI 1275970998 · NPPES record last updated Jul 16, 2020
Key facts
- NPI
- 1275970998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 35001966A (IN)
- Practice address
- 225 North Main Street
Suite 5
North Webster, IN 46555 - Phone
- (574) 834-1393
- Fax
- (574) 834-1205
- NPI assigned
- Jun 4, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001966A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Inc. | Counselor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35001966A | IN | Yes |
Addresses
Primary practice location
225 North Main Street
Suite 5
North Webster, IN 46555
Mailing address
PO Box 751
North Webster, IN 46555-0751
Phone (574) 834-1393
Other providers in North Webster, IN
- 2 Nurses Home Care, Inc.
- Jacqueline Anders
- Jonna Buller
- Cardinal Services Inc of Indiana
- Anna Cherise Coello
- Mystique Gabrielle Coy
- Shari Davis
All providers in North Webster, IN · Marriage & Family Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.