Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH L. SHIELDS, LMHC
ActiveMental Health Counselor · FORT WAYNE, IN
Registration Details
- NPI Number
- 1548267743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2005 (20.833263932028 yrs)
- Last Updated
- Dec 26, 2012
- Licenses
-
39001242A (IN)87001425A (IN)
Practice Information
- Address
-
11104 PARKVIEW CIRCLE DRSTE 110FORT WAYNE, IN, 468451730Browse IN providers · Browse ZIP 46845
- Phone
- 2604603203
- Fax
- 2604603130
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Mental Health Counselor Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. LORI LEE HORSTMEYER-GRUBB | LMHC, BCPC | 1689679177 |
| STEPHEN ALEXANDER KONZ | LMHC | 1780680694 |
| CHERYL L. CONFER | LMHC | 1831170406 |
| JOAN LUTHER | LMHC | 1568444701 |
| AMY NITZA | PH.D | 1619953692 |
| CHARLES CLIFFORD HOWIE | M.S., LMHC, LPC | 1942267950 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.