Caraconnect Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CARACONNECT COUNSELING LLC

Practice address

607 Airport North Office Park
Fort Wayne, IN 46825-6706

Phone

(260) 200-3223

Fax

(260) 264-5366

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth A Whitaker, LMHCNPI 1801181144

Title

Rendering Provider

Phone

(614) 774-8307

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth A Whitaker, M.A., L.M.H.C.

  • Mental Health Counselor
  • Michigan City, IN
  • NPI 1801181144
  Medicare reassignment NPD Authorized official
• Cheri L Rhoades, MA, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1891052692
  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1326758558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256706",
            "telephone_number": "260-200-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256706",
            "telephone_number": "260-200-3223",
            "fax_number": "260-264-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARACONNECT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RENDERING PROVIDER",
        "authorized_official_telephone_number": "614-774-8307",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300046350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Senior Living Properties 4, Inc.
• Rachel Capito, PHARMD
• Caylie Cappelli, NP
• Cheryl Bandolon Capuyan
• Edwin Requillo Capuyan, PT
• Kathryn Carboneau, M.D.
• Dustin J Carboni, COTA
• Goldy Beatriz Carbunaru, MD
• Stephanie Marie Carcione, PHARMD
• Devyn Carder

• Adult Mental Health Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Adult Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.