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STACI RADER MFT
NPI 1750161535
Counselor - Mental Health in Fort Wayne, IN

Active since September 29, 2023
2200 LAKE AVE STE 260, FORT WAYNE, IN 46805(260) 424-0411 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci Rader Mft NPPES

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

STACI RADER MFT (NPI 1750161535) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1750161535
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACI RADERCredential: MFT
Location Address2200 LAKE AVE STE 260Fort Wayne, IN 46805-5351
Mailing Address2200 Lake Ave Ste 260Fort Wayne, IN 46805-5351 · (260) 424-0411
Phone(260) 424-0411
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1750161535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2200 LAKE AVE STE 260, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 6

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

BRIAN MOCKENHAUPT
Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411
LAUNCHPAD FOUNDATION, INC.
Social Worker (Clinical)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411
DOMINICA FAITH DELLO IOCONA MSED, LMHCA
Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411
KATHERINE MOELLER PSY.D., HSPP
Psychologist (Clinical)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411
JENNIFER AILEEN PAPPERT MSED, LMHC
Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Allen County (126) 042-4041
MR. FREDERICK JOSEPH PARSONS MSED, LMHCA
Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411

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 Staci Rader's NPI number?

The NPI number for Staci Rader is 1750161535. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Staci Rader located?

Staci Rader practices at 2200 Lake Ave Ste 260, Fort Wayne, IN 46805. The listed phone number is (260) 424-0411.

What is Staci Rader'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 Staci Rader was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.