Organization Active NPI

Tina Huffman Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
National Provider Identifier
1699260182
Registry record updated Jun 27, 2018
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
TINA HUFFMAN COUNSELING SERVICES LLC
Practice address
2323 111 W. Berry St.
Fort Wayne, IN 46802
Phone
(260) 557-1329
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Mrs. Tina Marie Huffman, LMHC. LCAC
Title
Owner
Phone
(260) 557-1329

Specialties & licenses 1

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

Addresses

Primary practice location

2323 111 W. Berry St.
Fort Wayne, IN 46802

Mailing address

429 E. Dupont Rd. PMB 152
Fort Wayne, IN 46825

Other names 1

  • Tina Huffman Sole MBR Other name

National Provider Directory

National Provider Directory

Locations

111 W Berry St
Fort Wayne, IN 46802
Phone (260) 557-1329

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1699260182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E. DUPONT RD. PMB 152",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 111 W. BERRY ST.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "260-557-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA HUFFMAN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-557-1329",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC. LCAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tina Huffman Sole MBR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tina Huffman Sole MBR",
            "code": "5",
            "type": "Other 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 Jun 27, 2018; 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.