Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARNI F MASTBAUM MS ED
NPI 1376829218
Counselor - Mental Health in Fort Wayne, IN

Active since October 24, 2011PECOS Enrolled
3154 MALLARD COVE LN, FORT WAYNE, IN 46804(260) 433-5007 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Aug 28, 2026 (2 updates tracked since 2026).

About Marni F Mastbaum Ms Ed NPPES

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

MARNI F MASTBAUM MS ED (NPI 1376829218) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376829218
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARNI F MASTBAUMCredential: MS ED
Location Address3154 MALLARD COVE LNFort Wayne, IN 46804-2882
Mailing Address3154 Mallard Cove LnFort Wayne, IN 46804-2882 · (260) 433-5007
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 24, 2011
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1376829218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3154 MALLARD COVE LN, Fort Wayne, IN 46804

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 (PECOS)

Marni F Mastbaum Ms Ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729549308
PECOS Enrollment IDI20260914001658
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 2

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

Counselor (Mental Health)
3154 MALLARD COVE LN
FORT WAYNE, IN 46804
Counselor (Mental Health)
3154 MALLARD COVE 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 Marni Mastbaum's NPI number?

The NPI number for Marni Mastbaum is 1376829218. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Marni Mastbaum located?

Marni Mastbaum practices at 3154 Mallard Cove Ln, Fort Wayne, IN 46804. The listed phone number is (260) 433-5007.

What is Marni Mastbaum's specialty?

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

Is Marni Mastbaum enrolled in Medicare?

Yes. Marni Mastbaum is registered in the Medicare PECOS enrollment system.

What insurance does Marni Mastbaum accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Marni Mastbaum 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 Marni Mastbaum was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.