NPIMap

Organization Active NPI

A Brighter Future, LLC

  • Professional Counselor
  • Fort Wayne, IN
National Provider Identifier
1851672232
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
34004130A Issued in IN
Legal business name
A BRIGHTER FUTURE, LLC
Practice address
4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838
Phone
(260) 422-0843
NPI assigned
Aug 30, 2011
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Mr. Timothy David Theye, L.C.S.W., L.C.A.C.NPI 1346540556
Title
President
Phone
(260) 450-6068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 34004130A IN Primary

Addresses

Primary practice location

4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838

Mailing address

8228 Victoria Woods PL
Fort Wayne, IN 46825-6506
Phone (260) 450-6068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000438 IN Part B Supplier - Clinic/Group Practice 8224202874 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

1910 Saint Joe Center Rd
Ste 13
Fort Wayne, IN 46825
Phone (260) 242-5338

2200 Lake Ave
Ste 100
Fort Wayne, IN 46805
Phone (260) 450-6068

2314 Lake Ave
Ste B
Fort Wayne, IN 46805
Phone (260) 450-6068

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1851672232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 VICTORIA WOODS PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256506",
            "telephone_number": "260-450-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 W JEFFERSON BLVD STE 285",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046838",
            "telephone_number": "260-422-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIGHTER FUTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "THEYE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-450-6068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W., L.C.A.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "34004130A",
            "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 Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.