Instilling Hope Addiction Therapy, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

INSTILLING HOPE ADDICTION THERAPY, LLC

Practice address

110 E Wayne St FL 12
Fort Wayne, IN 46802-2611

Phone

(260) 409-8432

NPI assigned

Oct 2, 2024

Last updated

May 18, 2026By 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

Terrell Jermaine Brown, BA, MS, MA, LCACNPI 1295577815

Title

Owner/ Clinical Addiction Therapist

Phone

(260) 234-9009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Terrell Jermaine Brown, MS, MA, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Fort Wayne, IN
  • NPI 1295577815
  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1861210247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST FL 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022611",
            "telephone_number": "260-409-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST FL 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022611",
            "telephone_number": "260-409-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTILLING HOPE ADDICTION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL ADDICTION THERAPIST",
        "authorized_official_telephone_number": "260-234-9009",
        "authorized_official_credential": "BA, MS, MA, LCAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.