Michael Christian

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003509A Issued in IN

Practice address

4618 E State Blvd Ste 300
Fort Wayne, IN 46815-6966

Phone

(603) 730-2132

Fax

(260) 373-0218

NPI assigned

Mar 23, 2016

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cross Connections, Inc

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1285112060
  Medicare reassignment NPD

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1861854481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 E STATE BLVD STE 300",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156966",
            "telephone_number": "260-373-0213",
            "fax_number": "260-373-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 E STATE BLVD STE 300",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156966",
            "telephone_number": "603-730-2132",
            "fax_number": "260-373-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003509A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J. Choi, DO
• Nitin Chopra, MD
• Jena N Chopson, NP
• Sonam M Chouksey, M.D.
• Janis Lorraine Chrissikos, RN, BSN, MSN, CNM
• Christina Stapleton, L.L.C
• Christina Stemmler, LLC (Psychology Services & Consulting)
• Anna Christlieb
• Heather D Christlieb, PT
• Jilian Christlieb

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.