BLACKBIRD COUNSELING, LLC
NPI 1356803936
Counselor - Mental Health in Fort Wayne, IN

Active since April 03, 2019
5726 COVENTRY LN, FORT WAYNE, IN 46804(260) 627-9158 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 13, 2022, Apr 3, 2019 (2 updates tracked since 2019).

About Blackbird Counseling, Llc NPPES

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

BLACKBIRD COUNSELING, LLC (NPI 1356803936) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since April 2019. The organization lists Victoria Prokop, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1356803936
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLACKBIRD COUNSELING, LLC
Location Address5726 COVENTRY LNFort Wayne, IN 46804-7141
Mailing Address5726 Coventry LnFort Wayne, IN 46804-7141 · (260) 627-9158
Organization SubpartNo
Authorized OfficialVictoria ProkopTherapist/owner · (260) 627-9158
Enumeration DateApril 3, 2019
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
NPI 1356803936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5726 COVENTRY LN, Fort Wayne, IN 46804

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
5726 COVENTRY LN
FORT WAYNE, IN 46804

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 Blackbird Counseling, LLC's NPI number?

The NPI number for Blackbird Counseling, LLC is 1356803936. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is Blackbird Counseling, LLC located?

Blackbird Counseling, LLC is located at 5726 Coventry Ln, Fort Wayne, IN 46804. The listed phone number is (260) 627-9158.

What is Blackbird Counseling, LLC'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 Blackbird Counseling, LLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.