Uniquely You Counseling and Wellness Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UNIQUELY YOU COUNSELING AND WELLNESS CENTER, LLC

Practice address

6710 Old Trail Rd
Fort Wayne, IN 46809-2639

Phone

(260) 409-5998

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Kelly, LMHCNPI 1255758215

Title

Owner

Phone

(260) 409-5998

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Crystal Kelly, MS

  • Counselor
  • Fort Wayne, IN
  • NPI 1255758215
  NPD Authorized official
• Paula Shane Martin, MS,LSW,LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1649480625
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1629765284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 GREENPOINTE PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468147611",
            "telephone_number": "260-409-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OLD TRAIL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468092639",
            "telephone_number": "260-409-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUELY YOU COUNSELING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-409-5998",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 24, 2023; 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.