Alexis Vaughn Nieman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88002857A Issued in IN

Practice address

3601 Hobson Rd Ste 295
Fort Wayne, IN 46815-4527

Phone

(260) 254-7073

Fax

(260) 240-2228

NPI assigned

Feb 27, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1609721406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HOBSON RD STE 295",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154527",
            "telephone_number": "260-254-7073",
            "fax_number": "260-240-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HOBSON RD STE 295",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154527",
            "telephone_number": "260-254-7073",
            "fax_number": "260-240-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMAN",
        "first_name": "ALEXIS",
        "middle_name": "VAUGHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88002857A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia L Nider, NP
• Elise Niebel
• Samantha Niedermeyer, RBT
• Tiffany Niedermeyer
• Richard L Nielsen, M.D.
• Melody Niemoth, MT-BC
• Nierman Chiropractic and Wellness LLC
• Morgan Alyssa Nierman, DMD
• Robert Nierman, DMD
• Shannon Lee Nierman, D.C.

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.