Individual provider Active NPI

Laura Elizabeth McConnell, LMHCA

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1326925140
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88002932A Issued in IN
Practice address
2250 Lake Ave Ste 100
Fort Wayne, IN 46805-5352
Phone
(260) 225-8077
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88002932A IN Primary

Addresses

Primary practice location

2250 Lake Ave Ste 100
Fort Wayne, IN 46805-5352

Mailing address

428 W Market St
Bluffton, IN 46714-1938
Phone (260) 210-0731

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

State licenses

LicenseStateTypeSpecialty
88002932AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unboxed Grace Counseling Company LLC Mental Health CurrentSince Aug 25, 2025 Accepting new patients

Locations

2250 Lake Ave
Ste 100
Fort Wayne, IN 46805
Phone (260) 225-8077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1326925140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W MARKET ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141938",
            "telephone_number": "260-210-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LAKE AVE STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055352",
            "telephone_number": "260-225-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88002932A",
            "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 Aug 21, 2025; 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.