Organization Active NPI

Everyday Counseling & Services LLC

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1760812259
Registry record updated Apr 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EVERYDAY COUNSELING & SERVICES LLC
Practice address
3898 New Vision Dr
BLDG #13 Suite #E
Fort Wayne, IN 46845-1718
Phone
(260) 471-8141
Fax
(260) 471-7979
NPI assigned
Nov 19, 2013
Last updated
Apr 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2014

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

Authorized official

Name
Mrs. Karen Sue Gouloff
Title
Office Manager
Phone
(260) 471-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IN Primary

Addresses

Primary practice location

3898 New Vision Dr
BLDG #13 Suite #E
Fort Wayne, IN 46845-1718

Mailing address

3898 New Vision Dr
BLDG #13 Suite #E
Fort Wayne, IN 46845-1718
Phone (260) 471-8141

National Provider Directory

National Provider Directory

Locations

3898 New Vision Dr
Ste E
Fort Wayne, IN 46845
Phone (260) 471-8141

Practitioners & affiliated clinicians

Practitioners 1

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": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397865600000",
    "number": "1760812259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 NEW VISION DR",
            "address_2": "BLDG #13 SUITE #E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451718",
            "telephone_number": "260-471-8141",
            "fax_number": "260-471-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 NEW VISION DR",
            "address_2": "BLDG #13 SUITE #E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451718",
            "telephone_number": "260-471-8141",
            "fax_number": "260-471-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYDAY COUNSELING & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2014-04-19",
        "status": "A",
        "authorized_official_last_name": "GOULOFF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-471-8141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2014; 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.