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MR. PHILIP DAVID ERICHSEN MA
NPI 1144740986
Counselor - Mental Health in Fort Wayne, IN

Active since June 22, 2017PECOS Enrolled
4150 ILLINOIS RD, FORT WAYNE, IN 46804(877) 594-9204 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Philip David Erichsen Ma NPPES

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

MR. PHILIP DAVID ERICHSEN MA (NPI 1144740986) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144740986
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. PHILIP DAVID ERICHSENCredential: MA
Location Address4150 ILLINOIS RDFort Wayne, IN 46804-1208
Mailing Address4150 Illinois RdFort Wayne, IN 46804-1208 · (877) 594-9024
Phone(877) 594-9204
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 22, 2017
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1144740986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4150 ILLINOIS RD, Fort Wayne, IN 46804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare 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)

Mr. Philip David Erichsen Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931685344
PECOS Enrollment IDI20260115000453
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 Philip Erichsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crosswinds Inc
Same address
Mental Health
4150 ILLINOIS RD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1497170427 (877) 594-9204

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 18

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

JANAE MARIE WEBB
Marriage & Family Therapist
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 920-4708
KATHREN QUIGLEY LMHC
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (877) 594-9204
ANGELA WATERS LMHCA
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 702-3759
DANNA CLAIRE HAMILTON MA, LMHC
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (877) 594-9204
SHANNON MCELROY LMHC
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 702-3773
STEPHEN PAUL WEAVER
Marriage & Family Therapist
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (877) 594-9204
KALEY SOULE
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 240-4945
CROSSWINDS INC
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (877) 594-9204

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 Philip Erichsen's NPI number?

The NPI number for Philip Erichsen is 1144740986. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Philip Erichsen located?

Philip Erichsen practices at 4150 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (877) 594-9204.

What is Philip Erichsen's specialty?

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

Is Philip Erichsen enrolled in Medicare?

Yes. Philip Erichsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Erichsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Erichsen reassigns Medicare benefits to Crosswinds 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 Philip Erichsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Erichsen accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Philip Erichsen 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 Philip Erichsen was last updated on March 20, 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.