Active NPI
Taryn Pulver, LMHCA
- Mental Health Counselor
- Fort Wayne, IN
National Provider Identifier
1508750191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88002442A
- Practice address
- 10315 Dawsons Creek Blvd BLDG 12
Fort Wayne, IN 46825-1912 - Phone
- (260) 387-6340
- NPI assigned
- Jun 6, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88002442A | IN | Primary |
Addresses
Primary practice location
10315 Dawsons Creek Blvd BLDG 12
Fort Wayne, IN 46825-1912
Mailing address
13623 Maple Dr
Grabill, IN 46741-9458
Phone (574) 354-7009
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88002442A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1508750191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13623 MAPLE DR",
"city": "GRABILL",
"state": "IN",
"postal_code": "467419458",
"telephone_number": "574-354-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10315 DAWSONS CREEK BLVD BLDG 12",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251912",
"telephone_number": "260-387-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULVER",
"first_name": "TARYN",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "88002442A",
"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 Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.