Dana Dianne Clevering, MS, LMHC, EMDR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

39002359A Issued in IN

Practice address

412 S Scott Rd
Fort Wayne, IN 46814-9702

Phone

(260) 358-7180

NPI assigned

Feb 25, 2009

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Neossia Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1295396810
  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1871733246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S SCOTT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149702",
            "telephone_number": "260-358-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S SCOTT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149702",
            "telephone_number": "260-358-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVERING",
        "first_name": "DANA",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "MS, LMHC, EMDR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39002359A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Clemmer, MS
• Claire Allison Clerkley
• Debra Clevenger, MA
• Holly J Clevenger, RN
• Sharon Freeman Clevenger, MA, MSN, PMHCNS-BC
• Cara Click
• Gracie Clickovich, DPT
• Jessica Clifford
• Lauren Cliffton, PTA
• Alison Paige Clingenpeel, MA

• Professional Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.