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

Q: 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.

Q: What is Phyllis Schreiner-tata's specialty?

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

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: August 16, 2026.

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

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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 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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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