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DR. HEATH K. LISENBY DMIN., LMHC
NPI 1730289810
Counselor - Mental Health in Fort Wayne, IN

Active since September 25, 2006
6322 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 203-0294(260) 264-4581 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Heath K. Lisenby Dmin., Lmhc NPPES

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

DR. HEATH K. LISENBY DMIN., LMHC (NPI 1730289810) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39001625A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1730289810
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. HEATH K. LISENBYCredential: DMIN., LMHC
Location Address6322 CONSTITUTION DRFort Wayne, IN 46804-1518
Mailing Address6322 Constitution DrFort Wayne, IN 46804-1518 · (260) 203-0294 · Fax (260) 264-4581
Phone(260) 203-0294
Fax(260) 264-4581
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 22, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1730289810 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 · 39001625A
6322 CONSTITUTION DR, Fort Wayne, IN 46804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Heath K. Lisenby Dmin., Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 29, 2024 through January 29, 2026.

Opt-Out Effective DateJanuary 29, 2024
Opt-Out In Effect ThroughJanuary 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

What is Heath Lisenby's NPI number?

The NPI number assigned to this healthcare provider is 1730289810, enumerated as an "individual" on September 25, 2006.

Where is the provider located?

The provider is located at 6322 CONSTITUTION DR FORT WAYNE, IN 46804 and the phone number is (260) 203-0294.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Heath Lisenby accept?

The provider might be accepting Accepts: CareSource and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.