Krista Clarice Agler, MA
Individual provider Active NPI Mental Health Counselor · Fort Wayne, IN
NPI 1326460882 · NPPES record last updated Jun 27, 2014
Key facts
- NPI
- 1326460882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 909 E State Blvd
Fort Wayne, IN 46805-3404 - Phone
- (260) 481-2700
- NPI assigned
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
Mailing address
909 E State Blvd
Fort Wayne, IN 46805-3404
Phone (260) 481-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200912670A | Medicaid | IN |
Other providers in Fort Wayne, IN
- Lakshmi Aggarwal
- Sanjiv G Aggarwal
- Aging & in-Home Services of Northeast Indiana, Inc.
- Aging & in-Home Services of Northeast Indiana, Inc.
- Brookelyn Agler
- Tyson Agnew
- Dinesh Agnihotri
- Danielle Aguilar
- Mary Kathleen Aguilar
- Gabriel Aguilera
All providers in Fort Wayne, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2014. 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.