NPIMap

Organization Active NPI

Courageous Healing, LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
National Provider Identifier
1922419852
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
39002596A Issued in IN
Legal business name
COURAGEOUS HEALING, LLC
Practice address
528 W Berry St
Fort Wayne, IN 46802-2104
Phone
(260) 417-4801
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mrs. Janell M Lane, M.A., LMHCNPI 1548898844
Title
Co-Founder, Counselor
Phone
(260) 417-4801

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 39002596A IN
Community/Behavioral Health Agency 251S00000X 39002596A IN Primary

Addresses

Primary practice location

528 W Berry St
Fort Wayne, IN 46802-2104

Mailing address

929 Sherwood Dr
Fort Wayne, IN 46819-2276
Phone (260) 417-4801

National Provider Directory

National Provider Directory

Locations

528 W Berry St
Fort Wayne, IN 46802
Phone (260) 417-4801

2013 S Anthony Blvd
Fort Wayne, IN 46803
Phone (260) 255-3514

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1922419852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SHERWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468192276",
            "telephone_number": "260-417-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W BERRY ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022104",
            "telephone_number": "260-417-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-FOUNDER, COUNSELOR",
        "authorized_official_telephone_number": "260-417-4801",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": "39002596A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39002596A",
            "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 May 14, 2014; 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.