Riverside Trauma Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RIVERSIDE TRAUMA SERVICES

Practice address

127 W Berry St Ste 311
Fort Wayne, IN 46802-2310

Phone

(260) 376-2242

NPI assigned

Aug 26, 2025

Organization subpart

No

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

Authorized official

Name

Ellen Shannon, LMHCNPI 1841940145

Title

Member

Phone

(260) 271-3889

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ellen Dolores Shannon, MSED, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1841940145
  NPD Authorized official

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1376421453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W BERRY ST STE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022310",
            "telephone_number": "260-376-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W BERRY ST STE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022310",
            "telephone_number": "260-376-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE TRAUMA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "260-271-3889",
        "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": []
}

• Emily Ritzert, PA-C
• Edgardo D Rivera-Rivera, M.D.
• Erin Eileen Rivera, PHD, CNS, APRN, BC
• Miguel Rivera III
• Alexah K Rivers, LCSW
• Riverview Hospital
• Riverview Hospital
• Arnel Rizvic
• Denisa Rizvic, BCBA
• Thalaysay Roa

• 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 Jan 12, 2026; 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.