LYNNE BEARDSLEY LMHC
NPI 1962049809
Counselor - Mental Health in Fort Wayne, IN

Active since December 10, 2019PECOS Enrolled
2420 N COLISEUM BLVD STE 212, FORT WAYNE, IN 46805(260) 434-1606 Get Directions Write a Review

NPPES record last updated: April 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2022, Dec 10, 2019 (2 updates tracked since 2019).

About Lynne Beardsley Lmhc NPPES

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

LYNNE BEARDSLEY LMHC (NPI 1962049809) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39003670A) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962049809
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLYNNE BEARDSLEYCredential: LMHC
Location Address2420 N COLISEUM BLVD STE 212Fort Wayne, IN 46805-3139
Mailing Address6435 W Jefferson Blvd # 130Fort Wayne, IN 46804-6203 · (260) 918-0088
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 10, 2019
Last NPPES UpdateApril 29, 20232 updates tracked since enumeration
NPPES CertifiedApril 29, 2023
NPI 1962049809 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 · 39003670A
2420 N COLISEUM BLVD STE 212, Fort Wayne, IN 46805

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lynne Beardsley Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628570231
PECOS Enrollment IDI20250904000389
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 3

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

Counselor (Mental Health)
2420 N COLISEUM BLVD STE 212
FORT WAYNE, IN 46805
Counselor (Mental Health)
2420 N COLISEUM BLVD STE 212
FORT WAYNE, IN 46805
Counselor (Mental Health)
2420 N COLISEUM BLVD STE 212
FORT WAYNE, IN 46805

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 Lynne Beardsley's NPI number?

The NPI number for Lynne Beardsley is 1962049809. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Lynne Beardsley located?

Lynne Beardsley practices at 2420 N Coliseum Blvd Ste 212, Fort Wayne, IN 46805. The listed phone number is (260) 434-1606.

What is Lynne Beardsley's specialty?

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

Is Lynne Beardsley enrolled in Medicare?

Yes. Lynne Beardsley is registered in the Medicare PECOS enrollment system.

What insurance does Lynne Beardsley accept?

Health plans from Providence Health Plan list Lynne Beardsley 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 Lynne Beardsley was last updated on April 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.