MAINSTAY MUSIC THERAPY, INC (NPI# 1154788032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154788032 |
| Entity Type | Organization |
| Organization Name | MAINSTAY MUSIC THERAPY, INC |
| Practice Address |
10812 Coldwater Rd Ste 400 Fort Wayne IN 46845-1204 |
| Practice Telephone | 2604098246 |
| Mailing Telephone | 2604098246 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | ALLISON THOMAS (CEO/OWNER) |
| Authorized Official Telephone | 2604098246 |
| Authorized Official Credential | MT-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICAID WAIVER LEGACY NUMBER | 201028040 A | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MAINSTAY MUSIC THERAPY, INC | 5826 Leesville Place, Fort Wayne, IN 46835 |
| Street Address |
10812 COLDWATER RD STE 400 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760981013 | Heather Rochelle Palmer | Music Therapist | 10317 Lake Tahoe Dr, Fort Wayne, IN 46804-6915 | 2018-02-01 |
| 1427345602 | Allison Thomas | Music Therapist | 1856 River Run Trl, Apt D, Fort Wayne, IN 46825-5986 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707431 | Rongrong Shi | Music Therapist | 2867 S Walnut Street Pike, Bloomington, IN 47401-8402 | 2020-07-09 |
| 1659912392 | Kendall Williams | Music Therapist | 121b Shopping Vlg, Batesville, IN 47006-1275 | 2019-10-03 |
| 1245889690 | Dynamic Music Services Inc | Music Therapist | 7502 Madison Ave, Indianapolis, IN 46227-5510 | 2019-09-09 |
| 1942862297 | Amanda Marie Steiner | Music Therapist | 4173 S Spring Acres St, Terre Haute, IN 47802-4385 | 2019-07-07 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1417453408 | Plainsong Music Services, LLC | Music Therapist | 1106 Meridian St Ste 439, Anderson, IN 46016-2776 | 2018-03-30 |
| 1043719156 | Beth Buehne Carr | Music Therapist | 3452 Sandstone Cir Apt 1212, Columbus, IN 47201-8182 | 2018-02-04 |
| 1841703345 | Elizabeth Anne Krickhahn | Music Therapist | 420 W Stadium Ave Apt 3, Lafayette, IN 47906-2683 | 2017-11-07 |
| 1265969554 | Jordan Blitz Novak | Music Therapist | 520 E 70th Pl, Merrillville, IN 46410-3672 | 2017-05-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on MAINSTAY MUSIC THERAPY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.