Active NPI
Ruth Fearnow
- Professional Counselor
- Fort Wayne, IN
National Provider Identifier
1780001057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 429 E Dupont Rd # 66
Fort Wayne, IN 46825-2051 - Phone
- (540) 760-1820
- NPI assigned
- Mar 25, 2014
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
429 E Dupont Rd # 66
Fort Wayne, IN 46825-2051
Mailing address
429 E Dupont Rd # 66
Fort Wayne, IN 46825-2051
Phone (540) 760-1820
Other practice location 1
833 E Main St
Albion, IN 46701-1302
Phone (260) 636-6975
Other practice location 2
91-1841 Fort Weaver Rd
Ewa Beach, HI 96706-1909
Phone (808) 681-3500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Fort Wayne, IN
- NPI 1992221949
-
dba Northeastern Center Inpatient
- Psychiatric Hospital
- Auburn, IN
- NPI 1689781346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780001057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 E DUPONT RD # 66",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252051",
"telephone_number": "540-760-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 E DUPONT RD # 66",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252051",
"telephone_number": "540-760-1820"
}
],
"practiceLocations": [
{
"address_1": "833 E Main St",
"address_purpose": "LOCATION",
"city": "Albion",
"state": "IN",
"postal_code": "467011302",
"country_code": "US",
"telephone_number": "260-636-6975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91-1841 Fort Weaver Rd",
"address_purpose": "LOCATION",
"city": "Ewa Beach",
"state": "HI",
"postal_code": "967061909",
"country_code": "US",
"telephone_number": "808-681-3500",
"fax_number": "808-681-1486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEARNOW",
"first_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"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 21, 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.