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RIVERSIDE TRAUMA SERVICES
NPI 1376421453
Counselor - Mental Health in Fort Wayne, IN

Active since August 26, 2025
127 W BERRY ST STE 311, FORT WAYNE, IN 46802(260) 376-2242 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Trauma Services NPPES

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

RIVERSIDE TRAUMA SERVICES (NPI 1376421453) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since August 2025. The organization lists Ellen Shannon, Member, as its authorized official.

NPPES Registry Identity

NPI1376421453
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRIVERSIDE TRAUMA SERVICES
Location Address127 W BERRY ST STE 311Fort Wayne, IN 46802-2310
Mailing Address127 W Berry St Ste 311Fort Wayne, IN 46802-2310 · (260) 376-2242
Phone(260) 376-2242
Organization SubpartNo
Authorized OfficialEllen ShannonMember · (260) 271-3889
Enumeration DateAugust 26, 2025
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1376421453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
127 W BERRY ST STE 311, Fort Wayne, IN 46802
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

EMBODIED MENTAL HEALTH COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
127 W BERRY ST STE 311
FORT WAYNE, IN 46802
Allen County (260) 440-1001
ELLEN DOLORES SHANNON MSED, LMHC
Counselor (Mental Health)
127 W BERRY ST STE 311
FORT WAYNE, IN 46802
Allen County (260) 376-2242

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 Riverside Trauma Services's NPI number?

The NPI number for Riverside Trauma Services is 1376421453. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Riverside Trauma Services located?

Riverside Trauma Services is located at 127 W Berry St Ste 311, Fort Wayne, IN 46802. The listed phone number is (260) 376-2242.

What is Riverside Trauma Services'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 Riverside Trauma Services was last updated on January 12, 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.