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KELLEN LEWIS SR.
NPI 1124712484
Counselor - Mental Health in Fort Wayne, IN

Active since June 07, 2023
6202 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 515-0522 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellen Lewis Sr. NPPES

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

KELLEN LEWIS SR. (NPI 1124712484) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (88001951A) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1124712484
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKELLEN LEWIS SR.
Location Address6202 CONSTITUTION DRFort Wayne, IN 46804-1583
Mailing Address9712 Serpentine CvFort Wayne, IN 46804-5238 · (260) 515-0522
Phone(260) 515-0522
Sole ProprietorYes
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1124712484 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 · 88001951A
6202 CONSTITUTION DR, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 9

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

SHAMEKA DEMETRIS ARRINGTON
Counselor (Mental Health)
6202 CONSTITUTION DR
FORT WAYNE, IN 46804
Allen County (260) 432-0066
JACOB C ROBBINS
Counselor (Mental Health)
6202 CONSTITUTION DR
FORT WAYNE, IN 46804
Allen County (260) 432-0066
RICHELE GROENEWEG
Marriage & Family Therapist
6202 CONSTITUTION DR, SUITE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
ELEVATE HOME HEALTH, LLC
Home Health
6202 CONSTITUTION DR, SUITE C
FORT WAYNE, IN 46804
Allen County (260) 459-2917
MARCOS SALINAS MS. ED.
Counselor (Mental Health)
6202 CONSTITUTION DR
FORT WAYNE, IN 46804
Allen County (260) 432-4680
HOME CARE SERVICES, INC
Home Health
6202 CONSTITUTION DR, SUITE C
FT WAYNE, IN 46804
Allen County (260) 459-2917
JEFFREY R STUDEBAKER LMHC, LCSW, LCAC
Social Worker (Clinical)
6202 CONSTITUTION DR, SUITE D
FORT WAYNE, IN 46804
Allen County (260) 432-0066
MS. COLLEEN L ZURCHER MCGAURAN LMHC
Counselor (Mental Health)
6202 CONSTITUTION DR, D
FORT WAYNE, IN 46804
Allen County (260) 423-0066

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 Kellen Lewis's NPI number?

The NPI number for Kellen Lewis is 1124712484. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Kellen Lewis located?

Kellen Lewis practices at 6202 Constitution Dr, Fort Wayne, IN 46804. The listed phone number is (260) 515-0522.

What is Kellen Lewis'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 Kellen Lewis was last updated on June 7, 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.