NPIMap

Organization Active NPI

Vision Counseling and Psychological Services, PC

  • Psychologist
  • Fort Wayne, IN
National Provider Identifier
1609059146
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
VISION COUNSELING AND PSYCHOLOGICAL SERVICES, PC
Practice address
10315 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1912
Phone
(260) 387-6340
Fax
(260) 387-6984
NPI assigned
Dec 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gregory Scott Sowles, HSPP LMHC PHDNPI 1639182694
Title
Psychologist /President
Phone
(260) 387-6340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10315 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1912

Mailing address

10315 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1912
Phone (260) 387-6340

Other names 1

  • Vision Counseling and Psychological Services Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081113000696 IN Part B Supplier - Clinic/Group Practice 5799845236 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

10315 Dawsons Creek Blvd
Fort Wayne, IN 46825
Phone 2603876340 ext. 103

3948 New Vision Dr
Ste D
Fort Wayne, IN 46845
Phone (260) 245-1455

229 S State St
Kendallville, IN 46755
Phone (260) 387-6340

Practitioners & affiliated clinicians

Practitioners 10

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609059146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD STE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340",
            "fax_number": "260-387-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD STE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340",
            "fax_number": "260-387-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION COUNSELING AND PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "SOWLES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PSYCHOLOGIST /PRESIDENT",
        "authorized_official_telephone_number": "260-387-6340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "HSPP  LMHC  PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Counseling and Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.