Individual provider Active NPI

Ruth Fearnow

  • Professional Counselor
  • Fort Wayne, IN
National Provider Identifier
1780001057
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.