IndividualActive
Jacob Fawley
NPI 1528727807 · Mental Health Counselor · Fort Wayne, IN
Jacob Fawley is a Mental Health Counselor provider in Fort Wayne, IN (NPI 1528727807).
Provider details
- NPI number
- 1528727807
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 39002631A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4150 Illinois Rd
Fort Wayne, IN 46804-1208
Phone: (260) 702-3752
Fax: (260) 702-3752
Street-level locationGet directions
Mailing address
4150 Illinois Rd
Fort Wayne, IN 46804-1208
Registry dates
- Enumerated
- 2021-12-14
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Frequently asked questions
- What is Jacob Fawley's NPI number?
- Jacob Fawley's National Provider Identifier (NPI) is 1528727807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Fawley's specialty?
- Jacob Fawley is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jacob Fawley located?
- Jacob Fawley's practice location on file with NPPES is 4150 Illinois Rd, Fort Wayne, IN 46804-1208.
- What is Jacob Fawley's phone number?
- The practice phone number listed in the NPPES registry for Jacob Fawley is (260) 702-3752.
- Is Jacob Fawley's NPI active?
- Yes — Jacob Fawley's NPI (1528727807) is active in the NPPES registry as of the last update on 2021-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.