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KYLA THOMPSON
NPI 1245007939
Counselor - Mental Health in Fort Wayne, IN

Active since December 04, 2023PECOS Enrolled
2013 S ANTHONY BLVD, FORT WAYNE, IN 46803(260) 255-3514 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyla Thompson NPPES

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

KYLA THOMPSON (NPI 1245007939) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (88002138A) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245007939
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLA THOMPSON
Location Address2013 S ANTHONY BLVDFort Wayne, IN 46803-3609
Mailing Address2013 S Anthony BlvdFort Wayne, IN 46803-3609
Phone(260) 255-3514
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1245007939 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 · 88002138A
2013 S ANTHONY BLVD, Fort Wayne, IN 46803
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyla Thompson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537650718
PECOS Enrollment IDI20251115000071
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 12

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

COURAGEOUS HEALING INC
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 417-4801
FREDERICA ROGERS LMSW
Social Worker
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 225-9991
MELISSA NICOLE HALL LSW
Social Worker
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 267-0715
JOSELINE KARELY MATIAS MSW
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 209-4529
DAYLA RYAN ROBINSON
Social Worker (Clinical)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 255-3514
MR. CAMERON LEE SHACKELFORD II LSW
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 255-3514
AARON J LANE
Social Worker
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 267-0408
TAMIA PARKER
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 255-3514

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 Kyla Thompson's NPI number?

The NPI number for Kyla Thompson is 1245007939. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Kyla Thompson located?

Kyla Thompson practices at 2013 S Anthony Blvd, Fort Wayne, IN 46803. The listed phone number is (260) 255-3514.

What is Kyla Thompson's specialty?

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

Is Kyla Thompson enrolled in Medicare?

Yes. Kyla Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyla Thompson was last updated on December 4, 2023. 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.