Nicole Gaedtke, MSED, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001980A Issued in IN

Practice address

2201 Cedar Ridge Cove
Fort Wayne, IN 46818

Phone

(260) 205-8644

Fax

(260) 265-1706

NPI assigned

Oct 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gaedtke Counseling LLC

  • Marriage & Family Therapist
  • Fort Wayne, IN
  • NPI 1225734890
  NPD Authorized official

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1760853386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 COVENTRY LN # 112",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047145",
            "telephone_number": "260-205-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CEDAR RIDGE COVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46818",
            "telephone_number": "260-205-8644",
            "fax_number": "260-265-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEDTKE",
        "first_name": "NICOLE",
        "credential": "MSED, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001980A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Renee Gabbard
• Abby Gabet, MSW
• Taylor Gabler, MA
• Daniel F. Gabrek, DDS, MSD
• Gaedtke Counseling LLC
• Tammy Gaff
• Terry M Gaff, MD
• Janel D Gagnon, MD
• Joyce Edna Gaines-Reese, MSW
• Jason T. Gaisford, PA-C

• Marriage & Family Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.