Healing Through Art

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALING THROUGH ART

Practice address

3521 Lake Ave # B1
Fort Wayne, IN 46805-5536

Phone

(260) 209-4718

Fax

(260) 572-2305

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Ada Dickinson, LMHC

Title

Therapist

Phone

(260) 209-4718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1336794148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LAKE AVE # B1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055536",
            "telephone_number": "260-209-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 LAKE AVE # B1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055536",
            "telephone_number": "260-209-4718",
            "fax_number": "260-572-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING THROUGH ART",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "260-209-4718",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.