Mary Lisa Barta, MS, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001710 Issued in IN

Practice address

10315E Dawson's Creek Blvd
Fort Wayne, IN 46825-1721

Phone

(260) 387-6340

NPI assigned

Jul 31, 2008

Last updated

Apr 12, 2018By 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 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mary Lisa Barta LLC

  • Marriage & Family Therapist
  • Fort Wayne, IN
  • NPI 1922497775
  Medicare reassignment NPD Authorized official
• Bonnie Kiser LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1225427586
  NPD (past)
• Cornerstone Counseling & Consulting, P.C,

  • Counseling Psychologist
  • Fort Wayne, IN
  • NPI 1801067012
  NPD (past)
• Vision Counseling and Psychological Services, PC

  • Psychologist
  • Fort Wayne, IN
  • NPI 1609059146
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1972769735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315E DAWSON'S CREEK BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251721",
            "telephone_number": "260-387-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315E DAWSON'S CREEK BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251721",
            "telephone_number": "260-387-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3948 New Vision Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451721",
            "country_code": "US",
            "telephone_number": "260-407-7285 x103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10315 Dawsons Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251912",
            "country_code": "US",
            "telephone_number": "260-387-6340 x103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10315 Dawsons Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251912",
            "country_code": "US",
            "telephone_number": "260-387-6340 x103",
            "fax_number": "260-387-6984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTA",
        "first_name": "MARY LISA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie S Barrido, M.D.
• Amanda Rose Barrie, NP
• Sidney Barrier
• Cindy Bradtmiller Barron, OTR
• Barry J Close OD, Inc.
• Lisa S Bartelheim
• William Barth, COTA
• Lynda Judith Bartholomew
• Mya Bartholomew
• Samantha Bartley, OT

• Marriage & Family Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.