Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Lisa Barta LLC

Organization Marriage & Family Therapist · NPI 1922497775

Mary Lisa Barta LLC is a Marriage & Family Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5630 The Prophets Pass
Fort Wayne, IN 46845-9473
Phone: (260) 471-1662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 35001710A (IN)

Record details

NPI number1922497775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Lisa Barta — Owner/Manager · (260) 471-1662
NPI enumeratedJanuary 16, 2015
Last updated in NPPESJanuary 16, 2015
Mailing address5630 The Prophets Pass, Fort Wayne, IN 46845-9473

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