Elizabeth Pictor, LMHC
Individual provider Active NPI Mental Health Counselor · Fort Wayne, IN
NPI 1922515428 · NPPES record last updated Aug 23, 2019
Key facts
- NPI
- 1922515428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39003553A (IN)
- Practice address
- 9417 Saint Joe Center Rd
Fort Wayne, IN 46835-9259 - Phone
- (260) 485-3692
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aberdeen Group LLC
Practice addresses (Care Compare)
12948 Coldwater Rd
Suite 101
Fort Wayne, IN 46845-8016
Phone (260) 373-0880
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231204001763 | IN | Practitioner - Mental Health Counselor | 7911355813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aberdeen Group LLC | Current |
Accepting new patients | |
| Aberdeen Group LLC | Current |
Accepting new patients | |
| Brooke Sellhorn LLC | Mental Health | Past | Accepting new patients |
Locations
12948 Coldwater Rd
Ste 101
Fort Wayne, IN 46845
Phone (260) 373-0880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003553A | IN | Yes |
Addresses
Primary practice location
9417 Saint Joe Center Rd
Fort Wayne, IN 46835-9259
Mailing address
5333 Moonrock CT
Fort Wayne, IN 46804-4339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88000405A | Other | IN | 01-INDIVIDUAL |
Other providers in Fort Wayne, IN
- Piazza Counseling Group, LLC
- Alyse A Piazza
- Robert B Pickard III
- Kalyn Pickens
- Lynnette Latrice Pickett
- Rachel Pictor
- John S. Pidgeon
- Skylar Piepho
- Alyssa Kate Elaine Pierce
- Diana Lynn Pierce
All providers in Fort Wayne, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.