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Midwest Addiction Psychiatric & Psychological Services LLC

Addiction (Substance Use Disorder) Counselor in Fort Wayne, IN · enumerated 2006 · authorized official Don Marshall, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336190149

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Registry record

Entity type Organization (Type 2)
Legal business name Midwest Addiction Psychiatric & Psychological Services LLC
Other name <Unavail>
Practice address 3010 E. State Blvd, Ste 100, Fort Wayne, IN, 46805
Fax (260) 471-3451
Enumeration date May 15, 2006
Last updated in NPPES Mar 2, 2018

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 14060ASO (IN) Primary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
103TA0400X Addiction (Substance Use Disorder) Psychologist Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
103TF0200X Forensic Psychologist Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License 14060ASO (IN) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 14060ASO (IN) Secondary
2084P0802X Addiction Psychiatry Physician Allopathic & Osteopathic Physicians · License 14060ASO (IN) Secondary

Authorized official

Name Don Marshall
Title Owner

Other identifiers

Identifier Type State Issuer
200200260A Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-02. Verify at npiregistry.cms.hhs.gov.
Where is Midwest Addiction Psychiatric & Psychological Services LLC located?
The practice location on file with NPPES is in Fort Wayne, IN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-02.