Active NPI
John Patrick Nolan, M.S.
- Counselor
- Fort Wayne, IN
National Provider Identifier
1508034091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6015 Dichotomy CT
Fort Wayne, IN 46835-2063 - Phone
- (260) 348-0833
- Fax
- (260) 387-7490
- NPI assigned
- Feb 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6015 Dichotomy CT
Fort Wayne, IN 46835-2063
Mailing address
6015 Dichotomy CT
Fort Wayne, IN 46835-2063
Phone (260) 348-0833
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1508034091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 DICHOTOMY CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468352063",
"telephone_number": "260-348-0833",
"fax_number": "260-387-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 DICHOTOMY CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468352063",
"telephone_number": "260-348-0833",
"fax_number": "260-387-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-18",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.