CONSULTING & COUNSELING ASSOCIATES LLC NPI 1962432971

NPI Information

  • NPI: 1962432971
  • Provider Name: CONSULTING & COUNSELING ASSOCIATES, LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Former Legal Business Name: CONSULTING & COUNSELING ASSOCIATES, INC.
  • Address: 4109 W JEFFERSON BLVD
    STE A
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 486-5251

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NPI Details

CONSULTING & COUNSELING ASSOCIATES, LLC is a clinical social worker in Fort Wayne, IN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CONSULTING & COUNSELING ASSOCIATES, LLC NPI is 1962432971. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Consulting & Counseling Associates, Inc..

The provider's business location address is:

4109 W JEFFERSON BLVD
STE A
FORT WAYNE, IN
ZIP 46804-894
Phone: (260) 486-5251
Fax: (260) 486-5058

The provider's authorized official is Kara Hale .
The authorized official title is Practice Administrator and has the following contact phone number (260) 486-5251.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 4/3/2024.

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
1101Y00000XCounselor39000309AINDIANANo
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologist20130063AINDIANANo
4104100000XSocial Worker34004475AINDIANANo
5104100000XSocial Worker34001306AINDIANANo
61041C0700XSocial WorkerClinicalYes
7106H00000XMarriage & Family Therapist3900246AINDIANANo
8106H00000XMarriage & Family TherapistNo

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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