CATALYST FOR CHANGE COUNSELING LLC
NPI 1023879038
Counselor - Mental Health in Fort Wayne, IN
About Catalyst For Change Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CATALYST FOR CHANGE COUNSELING LLC (NPI 1023879038) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since January 2024. The organization lists Kelly L Kessens, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Catalyst For Change Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Catalyst For Change Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Catalyst For Change Counseling LLC's NPI number?
The NPI number for Catalyst For Change Counseling LLC is 1023879038. It was assigned to this organization in the NPPES registry on January 17, 2024.
Where is Catalyst For Change Counseling LLC located?
Catalyst For Change Counseling LLC is located at 7703 Bowlander Way, Fort Wayne, IN 46835. The listed phone number is (260) 414-1127.
What is Catalyst For Change Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Catalyst For Change Counseling LLC enrolled in Medicare?
Yes. Catalyst For Change Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Catalyst For Change Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Catalyst For Change Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Catalyst For Change Counseling LLC was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Catalyst For Change Counseling Llc · NPI 1023879038
Mental Health organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since January 17, 2024.
## Identity
- **NPI:** 1023879038 (Entity type: Organization)
- **Enumerated:** January 17, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kelly Kessens, SOLE MEMBER
## Practice location
- **Address:** 7703 BOWLANDER WAY, Fort Wayne, IN 46835-9145
- **Phone:** (260) 414-1127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023879038) · Data from the CMS NPPES public registry.