DAWN LESLEY ETZEL NPI 1912213588

NPI Information

  • NPI: 1912213588
  • Provider Name: DAWN LESLEY ETZEL
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1747 N WELLS ST
    FORT WAYNE, IN
    ZIP 46808
  • Phone: (260) 420-6100

Map and Directions

Get Directions

NPI Details

Dawn Lesley Etzel is a mental health counselor in Fort Wayne, IN. Dawn Lesley Etzel NPI is 1912213588. 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:

1747 N WELLS ST
FORT WAYNE, IN
ZIP 46808-235
Phone: (260) 420-6100
Fax: (574) 268-2377

The enumeration date for this NPI number is 8/20/2010 and was last updated on 4/9/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)86000311AINDIANANo
2101YM0800XCounselorMental Health39002304AINDIANAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.