NPIMap

Organization Active NPI

Harvest Counseling Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
National Provider Identifier
1558434779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HARVEST COUNSELING GROUP INC
Practice address
4216 Flagstaff Cove
Harvest Counseling Group Inc
Fort Wayne, IN 46815-4417
Phone
(260) 485-4357
Fax
(260) 485-4357
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mickie R Bailey
Title
Business Office Manager
Phone
(260) 485-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4216 Flagstaff Cove
Harvest Counseling Group Inc
Fort Wayne, IN 46815-4417

Mailing address

4216 Flagstaff Cove
Harvest Counseling Group Inc
Fort Wayne, IN 46815-4417
Phone (260) 485-4357

National Provider Directory

National Provider Directory

Locations

4216 Flagstaff Cv
Fort Wayne, IN 46815
Phone (260) 485-4357

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558434779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 FLAGSTAFF COVE",
            "address_2": "HARVEST COUNSELING GROUP INC",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154417",
            "telephone_number": "260-485-4357",
            "fax_number": "260-485-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 FLAGSTAFF COVE",
            "address_2": "HARVEST COUNSELING GROUP INC",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154417",
            "telephone_number": "260-485-4357",
            "fax_number": "260-485-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST COUNSELING GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MICKIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "260-485-4357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "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 Aug 22, 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.