MARY LISA BARTA LLC
NPI 1922497775
Marriage & Family Therapist in Fort Wayne, IN

Q: What is Mary Lisa Barta LLC's NPI number?

The NPI number for Mary Lisa Barta LLC is 1922497775. It was assigned to this organization in the NPPES registry on January 16, 2015.

Q: What is Mary Lisa Barta LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since January 16, 2015

5630 THE PROPHETS PASS, FORT WAYNE, IN 46845(260) 471-1662 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary Lisa Barta Llc NPPES

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

MARY LISA BARTA LLC (NPI 1922497775) is a healthcare organization registered as a marriage & family therapist in Fort Wayne, Indiana and active in the NPI registry since January 2015. The organization lists Mary Lisa Barta, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1922497775

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameMARY LISA BARTA LLC

Location Address5630 THE PROPHETS PASSFort Wayne, IN 46845-9473

Mailing Address5630 The Prophets PassFort Wayne, IN 46845-9473 · (260) 471-1662

Phone(260) 471-1662

Organization SubpartNo

Authorized OfficialMary Lisa BartaOwner/manager · (260) 471-1662

Enumeration DateJanuary 16, 2015

✔ NPI 1922497775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IN · 35001710A

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5630 THE PROPHETS PASS, Fort Wayne, IN 46845

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Lisa Barta Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Lisa Barta LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Lisa Barta, MS, LMFTA

Marriage and Family Therapist

NPI 1972769735

10315E DAWSON'S CREEK BLVD
Fort Wayne, IN 46825

(260) 387-6340

✔ PECOS✔ Accepts Medicare3.9 mi

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

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 Mary Lisa Barta LLC's NPI number?

The NPI number for Mary Lisa Barta LLC is 1922497775. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Mary Lisa Barta LLC located?

Mary Lisa Barta LLC is located at 5630 The Prophets Pass, Fort Wayne, IN 46845. The listed phone number is (260) 471-1662.

What is Mary Lisa Barta LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary Lisa Barta LLC enrolled in Medicare?

Yes. Mary Lisa Barta LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary Lisa Barta LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Mary Lisa Barta LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mary Lisa Barta LLC accept?

Health plans from CareSource list Mary Lisa Barta LLC 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 Mary Lisa Barta LLC was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.