Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Riverside Trauma Services

Organization Mental Health Counselor · NPI 1376421453

Riverside Trauma Services provides Mental Health Counselor services 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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