Active NPI
Colleen L Zurcher McGauran, LMHC
- Mental Health Counselor
- Fort Wayne, IN
National Provider Identifier
1770734196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001685A
- Practice address
- 6202 Constitution Dr
D
Fort Wayne, IN 46804-1583 - Phone
- (260) 423-0066
- Fax
- (888) 284-8315
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001685A | IN | Primary |
| Mental Health Counselor | 101YM0800X | MH0001800 | FL |
Addresses
Primary practice location
6202 Constitution Dr
D
Fort Wayne, IN 46804-1583
Mailing address
6202 Constitution Dr
D
Fort Wayne, IN 46804-1583
Phone (260) 423-0066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH0001800 | FL | MD | Mental Health Counselor |
| 39001685A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1770734196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6202 CONSTITUTION DR",
"address_2": "D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041583",
"telephone_number": "260-423-0066",
"fax_number": "888-284-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 CONSTITUTION DR",
"address_2": "D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041583",
"telephone_number": "260-423-0066",
"fax_number": "888-284-8315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZURCHER MCGAURAN",
"first_name": "COLLEEN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001685A",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0001800",
"primary": false
}
],
"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 Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.