MR. MATT RYAN GIVENS


Address: 237 Airport North Office Park, Fort Wayne, IN 46825-6702
Phone: 2604137333

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 35001663A IN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3478 Stellhorn Rd, Fort Wayne, IN 468154630 2604137333

Office Location

Street Address 237 AIRPORT NORTH OFFICE PARK
City FORT WAYNE
State IN
Zip Code 46825-6702

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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
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City FORT WAYNE
Zip Code 46825

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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