Active NPI
Carmella Nicole Oneal, LMFT
- Marriage & Family Therapist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001854A
- Practice address
- 909 E State Blvd
Fort Wayne, IN 46805-3404 - Phone
- (260) 481-2700
- Fax
- (260) 481-2838
- NPI assigned
- Dec 17, 2012
- Last updated
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 85000124A | IN | |
| Marriage & Family Therapist | 106H00000X | 35001854A | IN | Primary |
Addresses
Primary practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
Mailing address
4630 W Jefferson Blvd Ste 3
Fort Wayne, IN 46804-6800
Phone (260) 433-9273
Other practice location 1
603 W Arch St
Portland, IN 47371-1318
Phone (260) 726-8520
Other practice location 2
4630 W Jefferson Blvd Ste 3
Fort Wayne, IN 46804-6800
Phone (260) 433-9273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 E State Blvd
Fort Wayne, IN 46805-3458
Phone (260) 481-2718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85000124A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Center Inc | Current | Accepting new patients | |
| Park Center Inc | Current | Accepting new patients | |
| Youth Service Bureau of Jay County, Inc. | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
909 E State Blvd
Fort Wayne, IN 46805
Phone (260) 481-2718
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
- NPI 1306897004
-
- Community/Behavioral Health Agency
- Fort Wayne, IN
- NPI 1598212326
-
- Psychiatric Hospital
- Fort Wayne, IN
- NPI 1457772402
-
- Community/Behavioral Health Agency
- Portland, IN
- NPI 1134391907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1548506728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 W JEFFERSON BLVD STE 3",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046800",
"telephone_number": "260-433-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E STATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468053404",
"telephone_number": "260-481-2700",
"fax_number": "260-481-2838"
}
],
"practiceLocations": [
{
"address_1": "603 W Arch St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "IN",
"postal_code": "473711318",
"country_code": "US",
"telephone_number": "260-726-8520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4630 W Jefferson Blvd Ste 3",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468046800",
"country_code": "US",
"telephone_number": "260-433-9273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONEAL",
"first_name": "CARMELLA",
"middle_name": "NICOLE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000124A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001854A",
"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 Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.