MIDWEST ADDICTION PSYCHIATRIC & PSYCHOLOGICAL SERVICES LLC
MIDWEST ADDICTION PSYCHIATRIC & PSYCHOLOGICAL SERVICES LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1336190149, based in Fort Wayne, IN. The organization lists 11 taxonomy classifications, with Addiction (Substance Use Disorder) Counselor recorded as primary.
Getting there
The practice address on file is 3010 E. STATE BLVD STE 100, Fort Wayne, IN 46805. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 14060ASO | IN | Addiction (Substance Use Disorder)… primary |
| 14060ASO | IN | Mental Health Counselor |
| 14060ASO | IN | Psychologist |
| 14060ASO | IN | Addiction (Substance Use Disorder)… |
| 14060ASO | IN | Cognitive & Behavioral Psychologist |
| 14060ASO | IN | Clinical Child & Adolescent Psychologist |
| 14060ASO | IN | Forensic Psychologist |
| 14060ASO | IN | Clinical Social Worker |
| 14060ASO | IN | Marriage & Family Therapist |
| 14060ASO | IN | Psychiatry Physician |
| 14060ASO | IN | Addiction Psychiatry Physician |
This provider holds licence 14060ASO issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Addiction (Substance Use Disorder) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 14060ASO | IN | primary |
| 101YM0800X | Mental Health Counselor Mental Health | 14060ASO | IN | |
| 103T00000X | Psychologist | 14060ASO | IN | |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist Addiction (Substance Use Disorder) | 14060ASO | IN | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | 14060ASO | IN | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 14060ASO | IN | |
| 103TF0200X | Forensic Psychologist Forensic | 14060ASO | IN | |
| 1041C0700X | Clinical Social Worker Clinical | 14060ASO | IN | |
| 106H00000X | Marriage & Family Therapist | 14060ASO | IN | |
| 2084P0800X | Psychiatry Physician Psychiatry | 14060ASO | IN | |
| 2084P0802X | Addiction Psychiatry Physician Addiction Psychiatry | 14060ASO | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1336190149 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 15, 2006 |
| Last updated | Mar 2, 2018 |
| Status | Active |
| Practice address |
3010 E. STATE BLVD STE 100 Fort Wayne, IN 46805 (260) 471-0632 Fax (260) 471-3451 |
| Mailing address |
3010 E STATE BLVD SUTIE A Fort Wayne, IN 46805 |
| Other identifiers |
200200260A
· Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 3 | 6 | 1 | 9 | 0 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 6 | 6 | 2 | 9 | 0 | 1 | 8 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.