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Active NPI 1881203560 Individual Practitioner Male Practitioner

Timothy James Prentice , MA, LMHC-A

Counselor • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Timothy Prentice, MA, LMHC-A is a registered healthcare professional specializing in Counselor in Fort Wayne, IN. Practice services are available at 909 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

909 E State Blvd

Fort Wayne, IN 468053458

Telephone 2604812700
Fax 2604812838
Associated Practice Facility / Clinic
🏢 Park Center Inc Facility NPI 1306897004

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
61 Specialists

Practicing in Fort Wayne, IN (1327 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003121104
Jennifer Perry , MS

Counselor - Mental Health

NPI 1003236613

Master of Science

Dr. Michelle Wiese , MD

Psychiatry & Neurology - Psychiatry

NPI 1003348343

Doctor of Medicine (M.D.)

NPI 1003459561

APRNCNM, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Tina Saylor , LPN

Licensed Practical Nurse

NPI 1013190578

Licensed Practical Nurse

Julie Winn , BS

Case Manager/Care Coordinator

NPI 1013281245

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2020

Registered at 909 E STATE BLVD, FORT WAYNE, IN 468053458 (Tel: 2604812700)

📍
Updated Business Mailing Address July 28, 2020

Registered at 909 E STATE BLVD, FORT WAYNE, IN 468053458 (Tel: 2604829125)

👤
Provider Name / Credentials Updated July 28, 2020

Recorded as TIMOTHY PRENTICE, MA, LMHC-A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2020

Counselor

🟢
Initial NPI Registration & Enumeration July 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881203560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2020
Last Update: July 28, 2020
Sole Proprietor: No

Mailing Address

909 E State Blvd

Fort Wayne, IN 468053458

Phone: 2604829125

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.