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

Mrs. Katie Ann Shull, LCMHA

Individual provider Mental Health Counselor · NPI 1073347407

Mrs. Katie Ann Shull, LCMHA is a Mental Health Counselor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

4630 W Jefferson Blvd Ste 3
Fort Wayne, IN 46804-6800
Phone: (260) 632-2131
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 88002538A (IN)

Record details

NPI number1073347407
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHA
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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