DONALD LUEDKE (NPI# 1437604014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437604014 |
| Entity Type | Individual |
| Full Name | DONALD LUEDKE |
| Practice Address |
427 W Washington Blvd Fort Wayne IN 46802-2915 |
| Mailing Address |
1208 E Churchville Rd Suite 300 Bel Air MD 21014-3442 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436483485 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436483458 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 201280710 | 05 |
| Street Address |
427 W WASHINGTON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-2915 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| 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 |
| 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 |
| 1669526653 | Tyler James Zielasko | Counselor | 3894 New Vision Dr, Fort Wayne, IN 46845-1708 | 2007-01-23 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
Please comment or provide details below to improve the information on DONALD LUEDKE.
| 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.