IndividualActive
Trisa Immroth
NPI 1194514893 · Behavior Technician · Fort Wayne, IN
Trisa Immroth is a Behavior Technician provider in Fort Wayne, IN (NPI 1194514893).
Provider details
- NPI number
- 1194514893
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 471-9263
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2025-05-01
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Frequently asked questions
- What is Trisa Immroth's NPI number?
- Trisa Immroth's National Provider Identifier (NPI) is 1194514893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Trisa Immroth's specialty?
- Trisa Immroth is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Trisa Immroth located?
- Trisa Immroth's practice location on file with NPPES is 4422 E State Blvd, Fort Wayne, IN 46815-6917.
- What is Trisa Immroth's phone number?
- The practice phone number listed in the NPPES registry for Trisa Immroth is (260) 471-9263.
- Is Trisa Immroth's NPI active?
- Yes — Trisa Immroth's NPI (1194514893) is active in the NPPES registry as of the last update on 2025-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.