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JILL ELIZABETH SURINE
NPI 1790317667
Counselor - Mental Health in Fort Wayne, IN

Active since February 10, 2020
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2838 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jill Elizabeth Surine NPPES

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

JILL ELIZABETH SURINE (NPI 1790317667) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1790317667
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJILL ELIZABETH SURINE
Location Address909 E STATE BLVDFort Wayne, IN 46805-3458
Mailing Address909 E State BlvdFort Wayne, IN 46805-3458 · (260) 482-9125 · Fax (260) 481-2838
Phone(260) 481-2700
Fax(260) 481-2838
Sole ProprietorNo
Enumeration DateFebruary 10, 2020
✔ NPI 1790317667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
909 E STATE BLVD, Fort Wayne, IN 46805
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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 Jill Surine's NPI number?

The NPI number for Jill Surine is 1790317667. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Jill Surine located?

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

What is Jill Surine'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 Jill Surine was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.