Greta Lavon McKinney

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

315 Airport North Office Park
Fort Wayne, IN 46825-6703

Phone

(260) 490-8352

Fax

(260) 497-0074

NPI assigned

Jul 1, 2010

Last updated

Jul 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tailoring Minds LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1396524435
  Medicare reassignment NPD
• Raj Clinics Professional Services Corporation

  • Psychiatry Physician
  • Frankfort, IN
  • NPI 1467517532
  NPD (past)
• Tailoring Minds Transportation LLC

  • Driver
  • Fort Wayne, IN
  • NPI 1295569275
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1396057626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 HAYDEN ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468032043",
            "telephone_number": "260-348-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256703",
            "telephone_number": "260-490-8352",
            "fax_number": "260-497-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "GRETA",
        "middle_name": "LAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane McKee, P.A.-C
• Corynn E McKibben, PT
• Nanette Nell McKim
• Adam Nathaniel McKinney, CAA
• Carol Anne McKinney, MA
• Michelle McKuras, PTA
• Anne N McLaren, MD
• Carlye H McLaughlin
• Kathryn M McLaughlin, LMHC
• Mackenzie Kate McLaughlin, OTD, OTR/L

• 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 Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.