Individual provider Active NPI

Francis Jomo, MBA

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1801467808
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5800 Fairfied Avenue
Ste 265
Fort Wayne, IN 46807
Phone
(260) 492-9334
NPI assigned
Jul 9, 2021
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

5800 Fairfied Avenue
Ste 265
Fort Wayne, IN 46807

Mailing address

5800 Fairfied Avenue
Ste 265
Fort Wayne, IN 46807
Phone (260) 492-9334

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
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Point Social Services CurrentSince Jul 17, 2021 Accepting new patients

Locations

5800 Fairfield Ave
Ste 265
Fort Wayne, IN 46807
Phone (260) 449-9334

Organizations & group practices 1

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1801467808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIED AVENUE",
            "address_2": "STE 265",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46807",
            "telephone_number": "260-492-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIED AVENUE",
            "address_2": "STE 265",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46807",
            "telephone_number": "260-492-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOMO",
        "first_name": "FRANCIS",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "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 9, 2021; 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.