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

Amanda Mills Tallman

Individual provider Mental Health Counselor · NPI 1083320717

Amanda Mills Tallman is a Mental Health Counselor in Fort Wayne, Indiana. Qualified in 2002, 24 years ago. Practices with Four County Comprehensive Mental Health Center Inc, a 41-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
24
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

909 E State Blvd
Fort Wayne, IN 46805-3404
Phone: (260) 481-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 39005398A (IN)

Record details

NPI number1083320717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESMarch 22, 2025
Certification dateMarch 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Four County Comprehensive Mental Health Center Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Wayne