Active NPI
Mary K Reiter, MS HSPP
- Psychologist
- Fort Wayne, IN
National Provider Identifier
1487649752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20130063A
- Practice address
- 4214 Hobson CT
Fort Wayne, IN 46815-8648 - Phone
- (260) 486-5251
- Fax
- (260) 486-5058
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20130063A | IN | Primary |
Addresses
Primary practice location
4214 Hobson CT
Fort Wayne, IN 46815-8648
Mailing address
4214 Hobson CT
Fort Wayne, IN 46815-8648
Phone (260) 486-5251
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000204359 | Other | ANTHEM | |
| 0004361577 | Other | AETNA US HEALTHCARE | |
| 008809 | Other | VALUEOPTIONS | |
| 45756 | Other | CIGNA |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20130063A | IN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting & Counseling Associates, LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Fort Wayne, IN
- NPI 1962432971
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487649752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 HOBSON CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468158648",
"telephone_number": "260-486-5251",
"fax_number": "260-486-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 HOBSON CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468158648",
"telephone_number": "260-486-5251",
"fax_number": "260-486-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITER",
"first_name": "MARY",
"middle_name": "K",
"credential": "MS HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20130063A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000204359",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0004361577",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "008809",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "45756",
"state": null
}
],
"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 13, 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.