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PHYLLIS E SCHREINER-TATA LMHC
NPI 1760952535
Counselor - Mental Health in Fort Wayne, IN

Active since December 04, 2018PECOS EnrolledAccepts Medicare Assignment
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2838 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 10, 2024, Sep 11, 2021, Dec 4, 2018 (3 updates tracked since 2018).

About Phyllis E Schreiner-tata Lmhc NPPES

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

PHYLLIS E SCHREINER-TATA LMHC (NPI 1760952535) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39005436A) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760952535
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHYLLIS E SCHREINER-TATACredential: LMHC
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 481-2700
Fax(260) 481-2838
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 4, 2018
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1760952535 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 · 39005436A
909 E STATE BLVD, Fort Wayne, IN 46805
Open in Google Maps ↗

Secondary Practice Location 1

Location 11720 Beacon StFort Wayne, IN 46805-4749 · Phone (260) 373-8000 · Fax (260) 373-8034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phyllis E Schreiner-tata Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820515398
PECOS Enrollment IDI20250508000112
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Phyllis Schreiner-tata reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Center Inc
Same address
Mental Health (Including Community Mental Health Center)
909 E STATE BLVD
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 103 clinicians in this Medicare group
NPI 1306897004 (260) 481-2700
Rise Recovery LLC
2.8 mi
Rehabilitation, Substance Use Disorder
3020 S CALHOUN ST
Fort Wayne, IN 46807
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1700771714 (260) 908-3167
Parkview Health System,inc.
6.3 mi
Gastroenterology
11104 PARKVIEW CIRCLE DR STE 310
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1437461449 (260) 266-5230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

COURTNEY LESLEY WASHINGTON
Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JENNIFER PERRY MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MICHELLE ELISE WIESE MD
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
SARAH MICHELLE MOORE APRN-CNM, PMHNP-BC
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JULIE NAY WINN BS
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
TONYA J EIDEN LMHC, MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
ANGELA C DESPENZA LPN
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MEGAN I FIGUEROA RN
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700

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 Phyllis Schreiner-tata's NPI number?

The NPI number for Phyllis Schreiner-tata is 1760952535. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Phyllis Schreiner-tata located?

Phyllis Schreiner-tata practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Phyllis Schreiner-tata's specialty?

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

Is Phyllis Schreiner-tata enrolled in Medicare?

Yes. Phyllis Schreiner-tata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Phyllis Schreiner-tata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Schreiner-tata reassigns Medicare benefits to 3 organizations: Park Center Inc (Fort Wayne, IN), Rise Recovery LLC (Fort Wayne, IN) and Parkview Health System,inc. (Fort Wayne, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phyllis Schreiner-tata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Schreiner-tata accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Phyllis Schreiner-tata 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 Phyllis Schreiner-tata was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.