Amy Nitza, PH.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001630A Issued in IN

Practice address

723 Fulton St
Fort Wayne, IN 46802-1403

Phone

(260) 969-0915

Fax

(260) 969-0917

NPI assigned

Dec 21, 2005

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

Other names 1

• Amy Gibson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619953692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 FULTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021403",
            "telephone_number": "260-969-0915",
            "fax_number": "260-969-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 FULTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021403",
            "telephone_number": "260-969-0915",
            "fax_number": "260-969-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZA",
        "first_name": "AMY",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001630A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GIBSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Whitney Friesen Nisley, NP
• Natalie Ann Niswander, LCSW
• Alissa Niswonger, MS, LAT, ATC
• Caiden Niswonger
• Miles Nitz, LMFT
• Catherine Sue Nix, R.N.
• Stephen Nix, DPT
• Virginia Ann Nixon, LCSW
• Ngozi N Nnaji, RPH, PHARMD
• Adaku B. Nnodi, M.D.

• 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 Jul 8, 2007; 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.