KERI ELLEN MCCALL NPI 1235659632

NPI Information

  • NPI: 1235659632
  • Provider Name: KERI ELLEN MCCALL
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3711 RUPP DR STE 208
    FORT WAYNE, IN
    ZIP 46815
  • Phone: (260) 217-5902

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NPI Details

Keri Ellen Mccall is a mental health counselor in Fort Wayne, IN. Keri Ellen Mccall NPI is 1235659632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3711 RUPP DR STE 208
FORT WAYNE, IN
ZIP 46815-523
Phone: (260) 217-5902
Fax: (260) 202-5202

The enumeration date for this NPI number is 6/27/2017 and was last updated on 12/21/2022.

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 Health39003263AINDIANANo
2101YM0800XCounselorMental Health88000135AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300065057MEDICAIDINDIANA

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

NPI Synchronization or Removal

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