MR. MATT RYAN GIVENS (NPI# 1962754523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962754523 |
Entity Type | Individual |
Full Name | MR. MATT RYAN GIVENS |
Credential | LMFT |
Practice Address |
237 Airport North Office Park Fort Wayne IN 46825-6702 |
Practice Telephone | 2604137333 |
Mailing Telephone | 2604137333 |
Enumeration Date | 2012-10-08 |
Last Update Date | 2019-03-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 35001663A | IN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3478 Stellhorn Rd, Fort Wayne, IN 468154630 | 2604137333 |
Street Address |
237 AIRPORT NORTH OFFICE PARK |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-6702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
Find all providers in zip 46825 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487287371 | Fort Wayne Counseling Services | Marriage & Family Therapist | 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 | 2020-02-19 |
1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
1922497775 | Mary Lisa Barta LLC | Marriage & Family Therapist | 5630 The Prophets Pass, Fort Wayne, IN 46845-9473 | 2015-01-16 |
1548506728 | Carmella Nicole Oneal | Marriage & Family Therapist | 4630 W Jefferson Blvd Ste 3, Fort Wayne, IN 46804-6800 | 2012-12-17 |
1083988547 | Glenis A Sundberg | Marriage & Family Therapist | 1818 Carew St Ste 320, Fort Wayne, IN 46805-4764 | 2012-03-01 |
1982982898 | Ferraro Behavior Services, LLC | Marriage & Family Therapist | 9512 Lima Rd Ste 103, Fort Wayne, IN 46818-9806 | 2011-07-26 |
1679870646 | Stephen Michael O'shaughnessy | Marriage & Family Therapist | 3407 Rolston St, Fort Wayne, IN 46805-1535 | 2011-02-27 |
1760711808 | Marjorie L Havens | Marriage & Family Therapist | 2330 Beacon St, Suite 105, Fort Wayne, IN 46805-3852 | 2009-12-21 |
1366673956 | Melissa Ann Borton | Marriage & Family Therapist | 126 W Columbia St, Ste 300, Fort Wayne, IN 46802-1719 | 2009-07-31 |
1972769735 | Mary Lisa Barta | Marriage & Family Therapist | 10315e Dawson's Creek Blvd, Fort Wayne, IN 46825-1721 | 2008-07-31 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46825 |
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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.