Individual provider Active NPI

Elizabeth Pictor, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1922515428
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003553A Issued in IN
Practice address
9417 Saint Joe Center Rd
Fort Wayne, IN 46835-9259
Phone
(260) 485-3692
NPI assigned
Jan 5, 2018
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003553A IN Primary

Addresses

Primary practice location

9417 Saint Joe Center Rd
Fort Wayne, IN 46835-9259

Mailing address

5333 Moonrock CT
Fort Wayne, IN 46804-4339

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231204001763 IN Practitioner - Mental Health Counselor 7911355813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aberdeen Group LLCGroup PAC ID 5597922757, 12 clinicians

Practice addresses (Care Compare)

12948 Coldwater Rd
Suite 101
Fort Wayne, IN 46845-8016
Phone (260) 373-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aberdeen Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Aberdeen Group LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

12948 Coldwater Rd
Ste 101
Fort Wayne, IN 46845
Phone (260) 373-0880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1922515428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MOONROCK CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 SAINT JOE CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359259",
            "telephone_number": "260-485-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICTOR",
        "first_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003553A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.