Individual provider Active NPI

Heather Phillips, LMFT

  • Marriage & Family Therapist
  • Fort Wayne, IN
National Provider Identifier
1417667940
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002466A Issued in IN
Practice address
3201 Stellhorn Rd
Fort Wayne, IN 46815-4697
Phone
(215) 645-2084
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002466A IN Primary
Marriage & Family Therapist 106H00000X F.2500484 OH

Addresses

Primary practice location

3201 Stellhorn Rd
Fort Wayne, IN 46815-4697

Mailing address

429 E Dupont Rd Unit 2124
Fort Wayne, IN 46825-2051
Phone (260) 277-0473

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
35002466AINMDMarriage & Family Therapist
F.2500484OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbeginnings LLC Current Accepting new patients
Gaedtke Counseling LLC Marriage & Family Therapist Past Accepting new patients

Locations

429 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 297-3773

3201 Stellhorn Rd
Fort Wayne, IN 46815
Phone (215) 645-2084

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1417667940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E DUPONT RD UNIT 2124",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252051",
            "telephone_number": "260-277-0473",
            "fax_number": "260-240-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154697",
            "telephone_number": "215-645-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HEATHER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002466A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2500484",
            "primary": false
        }
    ],
    "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 Jul 29, 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.