JASON ELLIOTT MA LMHC NPI 1164738746

NPI Information

  • NPI: 1164738746
  • Provider Name: JASON ELLIOTT, MA, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2100 GOSHEN RD
    FORT WAYNE, IN
    ZIP 46808
  • Phone: (260) 471-3500

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NPI Details

Jason Elliott, MA, LMHC is a mental health counselor in Fort Wayne, IN. Jason Elliott, MA, LMHC NPI is 1164738746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 GOSHEN RD
FORT WAYNE, IN
ZIP 46808-493
Phone: (260) 471-3500
Fax: (260) 471-4263

The NPI 1164738746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/20/2010 and was last updated on 1/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health39002433AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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