Organization Active NPI

Edt, Inc.

Doing business as WE CARE Counseling Center

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1326111444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EDT, INC.
Doing business as
WE CARE Counseling Center
Practice address
509 W Washington Blvd
Fort Wayne, IN 46802-2917
Phone
(260) 422-3034
Fax
(260) 422-3691
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Emma D Thomas, MS LCSW
Title
Owner
Phone
(260) 422-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IN Primary

Addresses

Primary practice location

509 W Washington Blvd
Fort Wayne, IN 46802-2917

Mailing address

509 W Washington Blvd
Fort Wayne, IN 46802-2917
Phone (260) 422-3034

Other names 1

  • WE CARE Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110121000062 IN Part B Supplier - Clinic/Group Practice 7810176914 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

2020 E Washington Blvd
Ste 700
Fort Wayne, IN 46803
Phone (260) 422-3034

509 W Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-3034

Practitioners & affiliated clinicians

Practitioners 7

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326111444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W WASHINGTON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022917",
            "telephone_number": "260-422-3034",
            "fax_number": "260-422-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W WASHINGTON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022917",
            "telephone_number": "260-422-3034",
            "fax_number": "260-422-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-422-3034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WE CARE Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.