Individual provider Active NPI

Janet M. Eggiman, LMFT

  • Marriage & Family Therapist
  • Fort Wayne, IN
National Provider Identifier
1962502328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001565A Issued in IN
Practice address
10319 Dawsons Creek Blvd
Ste. J
Fort Wayne, IN 46825-1911
Phone
(260) 969-5583
Fax
(260) 969-5584
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001565A IN Primary

Addresses

Primary practice location

10319 Dawsons Creek Blvd
Ste. J
Fort Wayne, IN 46825-1911

Mailing address

10319 Dawsons Creek Blvd
Ste. J
Fort Wayne, IN 46825-1911
Phone (260) 969-5583

Other identifiers 2

IdentifierTypeStateIssuer
386107OtherINANTHEM
7585825OtherINAETNA

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
I20241029002344 IN Practitioner - Marriage and Family Therapist 3870026826 Practice locations: Fort Wayne, IN

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 W Berry St
Suite C
Fort Wayne, IN 46802-2166

614 W Berry St C
Fort Wayne, IN 46802-2166
Phone (260) 444-5034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Brief Therapy PC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962502328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 DAWSONS CREEK BLVD",
            "address_2": "STE. J",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251911",
            "telephone_number": "260-969-5583",
            "fax_number": "260-969-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 DAWSONS CREEK BLVD",
            "address_2": "STE. J",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251911",
            "telephone_number": "260-969-5583",
            "fax_number": "260-969-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGIMAN",
        "first_name": "JANET",
        "middle_name": "M.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001565A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "386107",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7585825",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.