The Samaritan Centers of Northeast Indiana, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE SAMARITAN CENTERS OF NORTHEAST INDIANA, INC

Practice address

300 W Wayne St
Suite 305
Fort Wayne, IN 46802-3608

Phone

(260) 422-8556

Fax

(260) 422-8558

NPI assigned

Jun 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marian M Litzenberg

Title

MGR of Admin and Client Serevices

Phone

(260) 657-5682

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821294265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WAYNE ST",
            "address_2": "SUITE 305",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023608",
            "telephone_number": "260-422-8556",
            "fax_number": "260-422-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WAYNE ST",
            "address_2": "SUITE 305",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023608",
            "telephone_number": "260-422-8556",
            "fax_number": "260-422-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAMARITAN CENTERS OF NORTHEAST INDIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITZENBERG",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGR OF ADMIN AND CLIENT SEREVICES",
        "authorized_official_telephone_number": "260-657-5682",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.