Park Center INC in Fort Wayne, IN
This location of Park Center bills under NPI 1306897004, an organization record issued on May 15, 2006 with the primary taxonomy Mental Health Clinic/Center (Including Community Mental Health Center). It is one of 11 NPIs registered under this name and one of 4 in Fort Wayne; each clinician who sees you there has their own NPI and license.
- Legal name
- Park Center INC
- Entity
- Type 2 · organization
- Primary taxonomy
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Practice location
- 909 E STATE BLVD, Fort Wayne, IN 46805
- Phone
- 260-481-2700
- Enumerated
- May 15, 2006
- Record updated
- Oct 29, 2021
- Authorized official
- Director Enterprise Credentialing & (title as filed)
The other 3 Fort Wayne NPIs
- Park Center, INC909 E STATE BLVD · issued Dec 6, 20071053594663
- Park Center INC1909 CAREW ST · issued Dec 18, 20131457772402
- Park Center INC909 E STATE BLVD · issued Jul 21, 20251073405270
20 clinicians CMS lists with Park Center in Fort Wayne
- Janet Anderson, RN FNPNurse Practitioner1134379688
- Sean Andes, MSMental Health Counselor1295096865
- Caroline BraunClinical Social Worker1497221691
- Jinny Broderick, LCSWClinical Social Worker1558441717
- Marjorie Burns, LCSW, MSSWClinical Social Worker1053328260
- Kaitlyn Chittick-Myers, PMHNPNurse Practitioner1790301257
- Sara CoburnNurse Practitioner1861115750
- Jessica CrozierClinical Social Worker1588541866
- Melissa Finefrock, LMFTMarriage & Family Therapist1043767080
- Brian Flesch, MSW, LCSWClinical Social Worker1821043555
- Jessica Gabbard, LMHCA (TEMP)Mental Health Counselor1861146433
- Melodie Gavin, RNPsychiatric/Mental Health Nurse Practitioner1053725085
- Ganit Gray, LCSWClinical Social Worker1215645551
- Sean Hall, LMHCMental Health Counselor1851109771
- Rebecca Haynes, NPPsychiatric/Mental Health Nurse Practitioner1326577354
- Deepak Khemka, MDPsychiatry Physician1396922977
- Timothy Kowaleski, DOAddiction Medicine (Internal Medicine) Physician1083093272
- Caitlin KrouseFamily Nurse Practitioner1184986259
- Jill Lane, MS, MHCMental Health Counselor1467693242
- Brittney LeyMental Health Counselor1669276937
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Indiana secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 103TA0400X Addiction (Substance Use Disorder) Psychologist
- 261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center)
- 261QP2300X Primary Care Clinic/Center
- 261QR0405X Substance Use Disorder Rehabilitation Clinic/Center
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Which Fort Wayne NPI should I use?
Ask the office which NPI it bills under; all 4 Fort Wayne NPIs are registered under the same name.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.