COMPREHENSIVE BEHAVIORAL SERVICES, LLC
NPI 1023221207
Counselor - Mental Health in Fort Wayne, IN

Active since May 07, 2007
2809 E DUPONT RD, FORT WAYNE, IN 46825(260) 492-5500(260) 492-5530 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Comprehensive Behavioral Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPREHENSIVE BEHAVIORAL SERVICES, LLC (NPI 1023221207) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since May 2007. The organization lists Gayle Bevill-dada, President/coo, as its authorized official.

NPPES Registry Identity

NPI1023221207
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOMPREHENSIVE BEHAVIORAL SERVICES, LLC
Location Address2809 E DUPONT RDFort Wayne, IN 46825-1668
Mailing Address2809 E Dupont RdFort Wayne, IN 46825-1668 · (260) 492-5500 · Fax (260) 492-5530
Fax(260) 492-5530
Organization SubpartNo
Authorized OfficialGayle Bevill-dadaPresident/coo · (260) 492-5500
Enumeration DateMay 7, 2007
Last NPPES UpdateJune 26, 2012
NPI 1023221207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 39001423A
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 2004070712A (IN)
2809 E DUPONT RD, Fort Wayne, IN 46825

Other Identifiers 4

Medicaid100332280IN
Medicaid1023221207IN
Medicare UPIN209380IN
Medicaid1053488197IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2809 E DUPONT RD
FORT WAYNE, IN 46825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Comprehensive Behavioral Services, LLC's NPI number?

The NPI number for Comprehensive Behavioral Services, LLC is 1023221207. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Comprehensive Behavioral Services, LLC located?

Comprehensive Behavioral Services, LLC is located at 2809 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 492-5500.

What is Comprehensive Behavioral Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Comprehensive Behavioral Services, LLC was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.