MR. GREGORY M. BANICKI M.S. ED.
NPI 1184785693
Counselor - Mental Health in Fort Wayne, IN

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
1910 SAINT JOE CENTER RD, FORT WAYNE, IN 46825(260) 484-5599(260) 484-5664 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gregory M. Banicki M.s. Ed. NPPES

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

MR. GREGORY M. BANICKI M.S. ED. (NPI 1184785693) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2006).

NPPES Registry Identity

NPI1184785693
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GREGORY M. BANICKICredential: M.S. ED.
Location Address1910 SAINT JOE CENTER RDFort Wayne, IN 46825-5000
Mailing Address1910 Saint Joe Center RdFort Wayne, IN 46825-5000 · (260) 484-5599 · Fax (260) 484-5664
Fax(260) 484-5664
Sole ProprietorYes
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2006
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184785693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1910 SAINT JOE CENTER RD, Fort Wayne, IN 46825

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Gregory M. Banicki M.s. Ed. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961939947
PECOS Enrollment IDI20250103000101
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.

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.

Music Therapist
1910 SAINT JOE CENTER RD
FORT WAYNE, IN 46825
Psychologist (Clinical)
1910 SAINT JOE CENTER RD, OFFICE #63
FORT WAYNE, IN 46825
Social Worker (Clinical)
1910 SAINT JOE CENTER RD, SUITE 44
FORT WAYNE, IN 46825
Music Therapist
1910 SAINT JOE CENTER RD
FORT WAYNE, IN 46825
Counselor (Mental Health)
1910 SAINT JOE CENTER RD, SUITE 13
FORT WAYNE, IN 46825
Counselor (Mental Health)
1910 SAINT JOE CENTER RD, SUITE 23
FORT WAYNE, IN 46825
Social Worker (Clinical)
1910 SAINT JOE CENTER RD, STE 23
FORT WAYNE, IN 46825
Music Therapist
1910 SAINT JOE CENTER RD
FORT WAYNE, IN 46825

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 Gregory Banicki's NPI number?

The NPI number for Gregory Banicki is 1184785693. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Gregory Banicki located?

Gregory Banicki practices at 1910 Saint Joe Center Rd, Fort Wayne, IN 46825. The listed phone number is (260) 484-5599.

What is Gregory Banicki's specialty?

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

Is Gregory Banicki enrolled in Medicare?

Yes. Gregory Banicki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gregory Banicki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Gregory Banicki 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 Gregory Banicki was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.