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

Kellen Lewis Sr.

Individual provider Mental Health Counselor · NPI 1124712484

Kellen Lewis Sr. is a Mental Health Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

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

6202 Constitution Dr
Fort Wayne, IN 46804-1583
Phone: (260) 515-0522
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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 88001951A (IN)

Record details

NPI number1124712484
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2023
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

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