Organization Active NPI

Mosaik Journeys LLC

  • Counseling Psychologist
  • Fort Wayne, IN
National Provider Identifier
1770324568
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
MOSAIK JOURNEYS LLC
Practice address
1027 W Rudisill Blvd Ste 228
Fort Wayne, IN 46807-2160
Phone
(260) 402-4264
NPI assigned
Jun 4, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Tyler Oyer
Title
Director of Operations
Phone
(260) 402-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

1027 W Rudisill Blvd Ste 228
Fort Wayne, IN 46807-2160

Mailing address

1025 W Rudisill Blvd # 3
Fort Wayne, IN 46807-2168

National Provider Directory

National Provider Directory

Locations

1025 W Rudisill Blvd
#3
Fort Wayne, IN 46807

1027 W Rudisill Blvd
Ste 228
Fort Wayne, IN 46807
Phone (260) 402-4264

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1770324568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W RUDISILL BLVD # 3",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 W RUDISILL BLVD STE 228",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072160",
            "telephone_number": "260-402-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIK JOURNEYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "OYER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "260-402-8413"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "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 Jul 9, 2024; 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.