ALLYSON THAMMACHACK


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

ALLYSON THAMMACHACK (NPI# 1407467210) 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) 1407467210
Entity Type Individual
Full Name ALLYSON THAMMACHACK
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 2020-08-14
Last Update Date 2020-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 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
1144820192 Nicholas Ray Brauchler Counselor 2100 Goshen Rd, Fort Wayne, IN 46808-1493 2020-10-29
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
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
Find all providers in the same location

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
Find all providers in zip 46808

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114401080 Robin Gene Vandeventer Counselor 2200 Lake Ave Ste 225, Fort Wayne, IN 46805-5364 2018-09-18
1023544533 Emily Martin Counselor 4646 W Jefferson Blvd Ste 100, Fort Wayne, IN 46804-6832 2017-05-03
1467995035 Heather Sue Bleeke Counselor 830 Ivy Creek Cv, Fort Wayne, IN 46804-3581 2016-11-29
1437604014 Donald Luedke Counselor 427 W Washington Blvd, Fort Wayne, IN 46802-2915 2016-08-24
1306208400 Tracy Cain Counselor 431 Fairmont Place, Fort Wayne, IN 46808-1116 2016-03-28
1144600982 Megan Kostrubanic Counselor 2420 N Coliseum Blvd Ste 206, Fort Wayne, IN 46805-3139 2015-06-07
1336579754 Interdisciplinary Community Autism Network, Inc Counselor 409 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3600 2013-11-21
1477823151 Gregory Wayne Isch Counselor 7230 Engle Rd Ste 305, Fort Wayne, IN 46804 2012-01-11
1710120753 Sandra Thomas Counselor 5440 Thornbriar Ln, Fort Wayne, IN 46835-3886 2009-04-07
1508034091 John Patrick Nolan Counselor 6015 Dichotomy Ct, Fort Wayne, IN 46835-2063 2008-02-18
Find all providers in FORT WAYNE

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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