COURAGEOUS HEALING, LLC (NPI# 1922419852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922419852 |
| Entity Type | Organization |
| Organization Name | COURAGEOUS HEALING, LLC |
| Practice Address |
528 W Berry St Fort Wayne IN 46802-2104 |
| Mailing Address |
929 Sherwood Dr Fort Wayne IN 46819-2276 |
| Practice Telephone | 2604174801 |
| Mailing Telephone | 2604174801 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | MRS. JANELL M LANE (CO-FOUNDER, COUNSELOR) |
| Authorized Official Telephone | 2604174801 |
| Authorized Official Credential | M.A., LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 39002596A | IN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 39002596A | IN | Agencies |
| Street Address |
528 W BERRY ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1174163844 | Neighborhood Mentoring Academy Inc. | Community/Behavioral Health | 916 E Hawthorne St, Fort Wayne, IN 46806-3144 | 2020-01-10 |
| 1336604883 | Christman Consulting, LLC | Community/Behavioral Health | 1623 Fairhill Rd, Fort Wayne, IN 46808-3026 | 2019-02-08 |
| 1093200214 | Sky Point Social Services | Community/Behavioral Health | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-8934 | 2018-06-29 |
| 1689194615 | A.i.d. Social Services | Community/Behavioral Health | 10323 Dawsons Creek Blvd Ste A, Fort Wayne, IN 46825-1910 | 2017-06-21 |
| 1598212326 | Infinite Journey, LLC | Community/Behavioral Health | 9910 Dupont Circle Dr E, Ste 140, Fort Wayne, IN 46825-1617 | 2016-09-09 |
| 1346601366 | Fort Wayne Clubhouse, Inc | Community/Behavioral Health | 3327 Lake Ave, Fort Wayne, IN 46805-5529 | 2016-03-18 |
| 1871906917 | Springhealth Integrated Care, Inc. | Community/Behavioral Health | 4410 Executive Blvd, Fort Wayne, IN 46808-1135 | 2014-06-06 |
| 1154747632 | Gret Machlan LLC | Community/Behavioral Health | 2200 Lake Ave Ste 125, Fort Wayne, IN 46805-5358 | 2014-03-08 |
| 1386905677 | Comprehensive Mental Health Services and Consultin | Community/Behavioral Health | 1517 Kentucky Ave, Fort Wayne, IN 46805-5003 | 2012-06-03 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
Please comment or provide details below to improve the information on COURAGEOUS HEALING, LLC.
| 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.