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

Riverside Trauma Services

Organization Mental Health Counselor · NPI 1376421453

Riverside Trauma Services is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

127 W Berry St Ste 311
Fort Wayne, IN 46802-2310
Phone: (260) 376-2242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1376421453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Shannon — Member · (260) 271-3889
NPI enumeratedAugust 26, 2025
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address127 W Berry St Ste 311, Fort Wayne, IN 46802-2310

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