INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY
NPI 1285839480
Psychologist - Prescribing (Medical) in Ft. Wayne, IN
About Indiana Center For Cognitive Behavior Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY (NPI 1285839480) is a healthcare organization registered as a prescribing (medical) in Ft. Wayne, Indiana and active in the NPI registry since June 2007. The organization lists Sharon E Freeman Clevenger, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Indiana Center For Cognitive Behavior Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Indiana Center For Cognitive Behavior Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Fort Wayne, IN 46825
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Center For Brief Therapy PC's NPI number?
The NPI number for Center For Brief Therapy PC is 1285839480. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is doing business as Indiana Center For Cognitive Behavior Therapy.
Where is Center For Brief Therapy PC located?
Center For Brief Therapy PC is located at 423 Airport N. Office Park, Ft. Wayne, IN 46825. The listed phone number is (260) 969-5583.
What is Center For Brief Therapy PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.
Is Center For Brief Therapy PC enrolled in Medicare?
Yes. Center For Brief Therapy PC is registered in the Medicare PECOS enrollment system.
When is Center For Brief Therapy PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Center For Brief Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns their Medicare billing to Center For Brief Therapy PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Center For Brief Therapy PC was last updated on April 23, 2019. 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.
# Indiana Center For Cognitive Behavior Therapy · NPI 1285839480
Prescribing (Medical) organization in Ft. Wayne, Indiana. Organization record, active in the CMS NPPES registry since June 18, 2007.
## Identity
- **NPI:** 1285839480 (Entity type: Organization)
- **Enumerated:** June 18, 2007
- **Primary specialty:** Psychologist - Prescribing (Medical) · taxonomy 103TP0016X
- **Legal business name:** Center For Brief Therapy Pc
- **Organization subpart:** No
- **Authorized official:** Sharon Freeman Clevenger, OWNER
## Practice location
- **Address:** 423 AIRPORT N. OFFICE PARK, Ft. Wayne, IN 46825-6704
- **Phone:** (260) 969-5583 · **Fax:** (260) 969-5584
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2019
- **Other identifiers:** Other 376137 (IN); Other 386107 (IN); Other 7585825 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1285839480) · Data from the CMS NPPES public registry.