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MRS. KATIE ANN SHULL LCMHA
NPI 1073347407
Counselor - Mental Health in Fort Wayne, IN

Active since August 28, 2024
4630 W JEFFERSON BLVD STE 3, FORT WAYNE, IN 46804(260) 632-2131 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Katie Ann Shull Lcmha NPPES

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

MRS. KATIE ANN SHULL LCMHA (NPI 1073347407) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (88002538A) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1073347407
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KATIE ANN SHULLCredential: LCMHA
Location Address4630 W JEFFERSON BLVD STE 3Fort Wayne, IN 46804-6800
Mailing Address5709 N State Road 101Woodburn, IN 46797-9655 · (260) 257-0016
Phone(260) 632-2131
Sole ProprietorNo
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1073347407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 88002538A
4630 W JEFFERSON BLVD STE 3, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 6

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

MARILLAC COUNSELING, LLC
Social Worker (Clinical)
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804
Allen County (260) 222-6367
AMBER SEWELL LMHCA
Counselor (Mental Health)
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804
Allen County (260) 349-2397
SYCAMORE PSYCHOLOGICAL, LLC
Clinic/Center (Adult Mental Health)
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804
Allen County (260) 238-0318
JESSICA SCHACHER LMHC
Counselor
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804
Allen County (260) 250-2682
TAMI ELAINE BOOTH LMHC
Counselor (Mental Health)
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804
Allen County (260) 572-0510
MEGAN BEECHING LMHCA
Counselor (Mental Health)
4630 W JEFFERSON BLVD STE 3
FORT WAYNE, IN 46804
Allen County (260) 704-4405

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 Katie Shull's NPI number?

The NPI number for Katie Shull is 1073347407. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Katie Shull located?

Katie Shull practices at 4630 W Jefferson Blvd Ste 3, Fort Wayne, IN 46804. The listed phone number is (260) 632-2131.

What is Katie Shull'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 Katie Shull was last updated on August 28, 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.