Fort Wayne Counseling Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FORT WAYNE COUNSELING SERVICES

Practice address

6319 Mutual Dr Ste F
Fort Wayne, IN 46825-4246

Phone

(260) 209-4473

NPI assigned

Feb 19, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Mynhier, LMFTNPI 1013447242

Title

Owner

Phone

(260) 209-4473

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, and the practitioner matching its NPPES authorized official.

• Russell E. Mynhier, MSED, LMFT

  • Marriage & Family Therapist
  • Fort Wayne, IN
  • NPI 1013447242
  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1487287371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 MUTUAL DR STE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254246",
            "telephone_number": "260-209-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 MUTUAL DR STE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254246",
            "telephone_number": "260-209-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "MYNHIER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-209-4473",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.