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AMBER GINET O'DANIELS
NPI 1083252548
Counselor - Mental Health in Fort Wayne, IN

Active since December 16, 2019PECOS Enrolled
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2838 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2023, Dec 16, 2019 (2 updates tracked since 2019).

About Amber Ginet O'daniels NPPES

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

AMBER GINET O'DANIELS (NPI 1083252548) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39004589A) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083252548
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMBER GINET O'DANIELS
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 481-2700
Fax(260) 481-2838
Sole ProprietorNo
Enumeration DateDecember 16, 2019
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1083252548 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 · 39004589A
909 E STATE BLVD, Fort Wayne, IN 46805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Ginet O'daniels is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amber O'daniels reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bowen Health Inc
3.2 mi
Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 clinicians in this Medicare group
NPI 1023668183 (800) 342-5653

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

COURTNEY LESLEY WASHINGTON
Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JENNIFER PERRY MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MICHELLE ELISE WIESE MD
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
SARAH MICHELLE MOORE APRN-CNM, PMHNP-BC
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JULIE NAY WINN BS
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
TONYA J EIDEN LMHC, MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
ANGELA C DESPENZA LPN
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MEGAN I FIGUEROA RN
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700

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 Amber O'daniels's NPI number?

The NPI number for Amber O'daniels is 1083252548. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Amber O'daniels located?

Amber O'daniels practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Amber O'daniels's specialty?

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

Is Amber O'daniels enrolled in Medicare?

Yes. Amber O'daniels is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amber O'daniels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber O'daniels reassigns Medicare benefits to Bowen Health Inc (Fort Wayne, IN). The 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 Amber O'daniels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber O'daniels accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Amber O'daniels as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber O'daniels was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.