COURAGEOUS HEALING INC (NPI# 1003444985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003444985 |
| Entity Type | Organization |
| Organization Name | COURAGEOUS HEALING INC |
| Practice Address |
2013 S Anthony Blvd Fort Wayne IN 46803-3609 |
| Mailing Address |
Po Box 10156 Fort Wayne IN 46850-0156 |
| Practice Telephone | 2604174801 |
| Mailing Telephone | 2604174801 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | JANELL LANE (CO-FOUNDER) |
| Authorized Official Telephone | 2604174801 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2013 S ANTHONY BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46803-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635840 | Frederica Rogers | Social Worker | 2013 S Anthony Blvd, Fort Wayne, IN 46803-3609 | 2020-10-06 |
| 1508463662 | Aaron J Lane | Social Worker | 2013 S Anthony Blvd, Fort Wayne, IN 46803-3609 | 2020-10-01 |
| 1548898844 | Janell Lane | Counselor | 2013 S Anthony Blvd, Fort Wayne, IN 46803-3609 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669811931 | Alyssa Kate Elaine Pierce | Registered Nurse | 3044 Schele Ave, Fort Wayne, IN 46803 | 2013-06-20 |
| 1538188164 | Deanna A Young | Counselor | 2020 East Washington Blvd, Suite 700, Fort Wayne, IN 46803 | 2006-07-18 |
| 1265491211 | Kamie Joy Lucas | Specialist/Technologist | 1600 E Washington Blvd, Indiana Institute of Technology, Fort Wayne, IN 46803 | 2006-03-20 |
| 1164693255 | Aaa Superior, Inc. | Taxi | 1520 E Berry St, Fort Wayne, IN 46803-1001 | 2008-03-17 |
| 1265951255 | Kailen Berry | Specialist/Technologist | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2017-09-12 |
| 1013453927 | Nathaniel Acree | Specialist/Technologist | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2017-01-17 |
| 1689784225 | Parkview Hospital | General Acute Care Hospital | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2006-08-30 |
| 1093774796 | Mcgee-lytle Inc | Psychologist | 2020 E Washington Blvd, Suite 650, Fort Wayne, IN 46803-1327 | 2006-03-21 |
| 1770722878 | Jennifer L Malott | Social Worker | 2020 E Washington Blvd, Suite 700, Fort Wayne, IN 46803-1359 | 2009-02-12 |
| 1356583918 | Angela Robbins Gebert | Durable Medical Equipment & Medical Supplies | 5436 Old Maumee Rd, Unit 1, Fort Wayne, IN 46803-1713 | 2009-03-28 |
| Find all providers in zip 46803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881899 | Emily H Cook | Counselor | 2130 Pemberton Dr, Fort Wayne, IN 46805-4628 | 2020-04-28 |
| 1871113274 | At Your Pace Counseling, LLC | Counselor | 6717 Sky Blue Dr, Fort Wayne, IN 46804-4648 | 2020-04-26 |
| 1962049809 | Lynne Beardsley | Counselor | 4630 W Jefferson Blvd Ste 11, Fort Wayne, IN 46804-6856 | 2019-12-10 |
| 1578108767 | Wholistic Wellness Counseling and Consulting LLC | Counselor | 1129 Rivermet Ave, Fort Wayne, IN 46805-4232 | 2019-11-11 |
| 1922654722 | Nicole Conrad | Counselor | 908 Manck Dr, Fort Wayne, IN 46814-8995 | 2019-08-16 |
| 1336794148 | Healing Through Art | Counselor | 3521 Lake Ave # B1, Fort Wayne, IN 46805-5536 | 2019-08-08 |
| 1013578749 | A.w. Holdings, LLC | Counselor | 3900 Hursh Rd, Fort Wayne, IN 46845-9677 | 2019-06-24 |
| 1811450646 | Living Waters Peace Center | Counselor | 3262 Mallard Cove Ln Ste B, Fort Wayne, IN 46804-2883 | 2019-04-09 |
| 1447718325 | Victoria Lynn Prokop | Counselor | 4656 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-6884 | 2019-03-09 |
| 1811467632 | Believe Counseling and Consulting | Counselor | 2200 Lake Ave Ste 140, Fort Wayne, IN 46805-5351 | 2018-12-05 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46803 |
Please comment or provide details below to improve the information on COURAGEOUS HEALING 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.