Active NPI
Conchanta Guines, LMFT
- Marriage & Family Therapist
- Fort Wayne, IN
National Provider Identifier
1851118095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 5651 Coventry LN # 112
Fort Wayne, IN 46804-7145 - Phone
- (260) 205-8644
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IN | Primary |
Addresses
Primary practice location
5651 Coventry LN # 112
Fort Wayne, IN 46804-7145
Mailing address
4663 Welton St
Greenwood, IN 46143-8974
Phone (317) 662-0795
Other practice location 1
3201 Stellhorn Rd
Fort Wayne, IN 46815-4697
Phone (260) 205-8644
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 |
|---|---|---|---|
| Gaedtke Counseling LLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1851118095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4663 WELTON ST",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438974",
"telephone_number": "317-662-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 COVENTRY LN # 112",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047145",
"telephone_number": "260-205-8644"
}
],
"practiceLocations": [
{
"address_1": "3201 Stellhorn Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468154697",
"country_code": "US",
"telephone_number": "260-205-8644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUINES",
"first_name": "CONCHANTA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IN",
"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 Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.