NICHOLAS RAY BRAUCHLER


Address: 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Phone: 2604713500

NICHOLAS RAY BRAUCHLER (NPI# 1144820192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144820192
Entity Type Individual
Full Name NICHOLAS RAY BRAUCHLER
Credential MS
Practice Address 2100 Goshen Rd
Fort Wayne
IN 46808-1493
Mailing Address 2621 E Jefferson St
Warsaw
IN 46580-3880
Practice Telephone 2604713500
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 2100 GOSHEN RD
City FORT WAYNE
State IN
Zip Code 46808-1493

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902802887 Shelly J Edwards Marriage & Family Therapist 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2005-06-24
1063019610 Markita R Powell Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-10-07
1922611458 Chase Aaron Young Social Worker 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-08-25
1962015404 Zachary Brock Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-08-25
1356954887 Ayomikun Ajani Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-08-25
1407467210 Allyson Thammachack Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-08-14
1245841485 Emily Meller Social Worker 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-08-12
1598383457 Jessica Mann Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-07-08
1669097762 Zabrina Przybilla Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-06-15
1265057368 Debra Clevenger Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347102 Austin Hartzog Pharmacist 5110 Value Drive, Fort Wayne, IN 46808 2020-08-21
1407358377 Bryan Black Specialist/Technologist 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 2018-03-06
1326557877 Kimberly K Kolb Occupational Therapy Assistant 1431 Runnion Ave, Fort Wayne, IN 46808 2017-09-28
1396142063 Christina Ryder Specialist/Technologist 3946 Iceway, Fort Wayne, IN 46808 2014-11-25
1912090440 Neighborcare of Indiana, LLC Pharmacy 3402 Congressional Pkwy, Ft. Wayne, IN 46808 2006-10-02
1619945888 Beth Ann Herrell Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2006-03-14
1568458990 Carolyn Warner Greer Obstetrics & Gynecology 1415 Directors Row, Fort Wayne, IN 46808 2005-09-21
1750851168 Tyler Cheney Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-28
1487123550 Michaela Mcguire Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-19
1861961088 Olivia Marquardt Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City FORT WAYNE
Zip Code 46808

Improve Information

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Dataset Information

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.

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