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NICOLE CONRAD 106S00000X
NPI 1922654722
Counselor - Mental Health in Fort Wayne, IN

Active since August 16, 2019
908 MANCK DR, FORT WAYNE, IN 46814(260) 271-5285 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Aug 16, 2019 (2 updates tracked since 2019).

About Nicole Conrad 106s00000x NPPES

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

NICOLE CONRAD 106S00000X (NPI 1922654722) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1922654722
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE CONRADCredential: 106S00000X
Location Address908 MANCK DRFort Wayne, IN 46814-8995
Mailing Address908 Manck DrFort Wayne, IN 46814-8995 · (260) 467-9327
Phone(260) 271-5285
Sole ProprietorYes
Enumeration DateAugust 16, 2019
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1922654722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X · License 25-482997 (IN)
908 MANCK DR, Fort Wayne, IN 46814
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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 Nicole Conrad's NPI number?

The NPI number for Nicole Conrad is 1922654722. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Nicole Conrad located?

Nicole Conrad practices at 908 Manck Dr, Fort Wayne, IN 46814. The listed phone number is (260) 271-5285.

What is Nicole Conrad'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 Nicole Conrad was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.