Individual provider Active NPI

Terrell Jermaine Brown, MS, MA, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Fort Wayne, IN
National Provider Identifier
1295577815
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87001772A Issued in IN
Practice address
110 E Wayne St FL 12
Fort Wayne, IN 46802-2611
Phone
(260) 409-8432
NPI assigned
Jun 12, 2024
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
87001772AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Instilling Hope Addiction Therapy, LLC Addiction (Substance Use Disorder) CurrentSince Oct 6, 2024 Accepting new patients

Locations

1690 Broadway
Ste 10
Fort Wayne, IN 46802
Phone (260) 200-4940

110 E Wayne St
Fort Wayne, IN 46802

110 E Wayne St
Fl 12
Fort Wayne, IN 46802
Phone (260) 409-8432

110 E Wayne St
Ste 6932
Fort Wayne, IN 46802

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001772A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

110 E Wayne St FL 12
Fort Wayne, IN 46802-2611

Mailing address

110 E Wayne St FL 12
Fort Wayne, IN 46802-2611
Phone (260) 409-8432

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2026.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1295577815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST FL 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022611",
            "telephone_number": "260-409-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST FL 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022611",
            "telephone_number": "260-409-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TERRELL",
        "middle_name": "JERMAINE",
        "credential": "MS, MA, LCAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001772A",
            "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 May 18, 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.

Verify at the official NPI Registry.