IndividualActive
Kellen Lewis
NPI 1124712484 · Mental Health Counselor · Fort Wayne, IN
Kellen Lewis is a Mental Health Counselor provider in Fort Wayne, IN (NPI 1124712484).
Provider details
- NPI number
- 1124712484
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 88001951A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6202 Constitution Dr
Fort Wayne, IN 46804-1583
Phone: (260) 515-0522
Street-level locationGet directions
Mailing address
9712 Serpentine Cv
Fort Wayne, IN 46804-5238
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Frequently asked questions
- What is Kellen Lewis's NPI number?
- Kellen Lewis's National Provider Identifier (NPI) is 1124712484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellen Lewis's specialty?
- Kellen Lewis is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kellen Lewis located?
- Kellen Lewis's practice location on file with NPPES is 6202 Constitution Dr, Fort Wayne, IN 46804-1583.
- What is Kellen Lewis's phone number?
- The practice phone number listed in the NPPES registry for Kellen Lewis is (260) 515-0522.
- Is Kellen Lewis's NPI active?
- Yes — Kellen Lewis's NPI (1124712484) is active in the NPPES registry as of the last update on 2023-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.