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ROBIN GENE VANDEVENTER
NPI 1114401080
Counselor in Fort Wayne, IN

Active since September 18, 2018
2200 LAKE AVE STE 225, FORT WAYNE, IN 46805(260) 436-0932(260) 436-1185 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robin Gene Vandeventer NPPES

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

ROBIN GENE VANDEVENTER (NPI 1114401080) is an individual counselor in Fort Wayne, Indiana, licensed in Indiana (88000671A) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1114401080
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameROBIN GENE VANDEVENTER
Location Address2200 LAKE AVE STE 225Fort Wayne, IN 46805-5364
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928 · Fax (765) 741-0335
Phone(260) 436-0932
Fax(260) 436-1185
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
✔ NPI 1114401080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IN · 88000671A
Definition
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.
2200 LAKE AVE STE 225, Fort Wayne, IN 46805
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Other Identifiers 2

Other14329568Caqh
Other88000671AIN · Mental Health Associate License

Other Providers at the Same Location NPPES

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

NATIONAL YOUTH ADVOCATE PROGRAM, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2200 LAKE AVE STE 225
FORT WAYNE, IN 46805
Allen County (260) 702-0360

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 Robin Vandeventer's NPI number?

The NPI number for Robin Vandeventer is 1114401080. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Robin Vandeventer located?

Robin Vandeventer practices at 2200 Lake Ave Ste 225, Fort Wayne, IN 46805. The listed phone number is (260) 436-0932.

What is Robin Vandeventer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Robin Vandeventer was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.