Individual provider Active NPI

Kelsey Darmochwal, M.S.

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1982089371
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003938A Issued in IN
Practice address
2420 N Coliseum Blvd Ste 212
Fort Wayne, IN 46805-3139
Phone
(260) 267-0234
Fax
(260) 264-6770
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 39003938A IN Primary

Addresses

Primary practice location

2420 N Coliseum Blvd Ste 212
Fort Wayne, IN 46805-3139

Mailing address

6435 W Jefferson Blvd # 220
Fort Wayne, IN 46804-6203
Phone (260) 267-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39003938AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Perceptions LLC Mental Health CurrentSince Apr 16, 2023 Accepting new patients
Everyday Counseling & Services LLC Mental Health Past Accepting new patients

Locations

6331 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 255-6429

2420 N Coliseum Blvd
Ste 212
Fort Wayne, IN 46805
Phone (260) 267-0234

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1982089371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 W JEFFERSON BLVD # 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046203",
            "telephone_number": "260-267-0234",
            "fax_number": "260-264-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 212",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-267-0234",
            "fax_number": "260-264-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMOCHWAL",
        "first_name": "KELSEY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003938A",
            "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 Apr 12, 2023; 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.