What is Jill Surine's NPI number?

Jill Surine's National Provider Identifier (NPI) is 1790317667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jill Surine's specialty?

Jill Surine is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jill Surine located?

Jill Surine's practice location on file with NPPES is 909 E State Blvd, Fort Wayne, IN 46805-3458.

What is Jill Surine's phone number?

The practice phone number listed in the NPPES registry for Jill Surine is (260) 481-2700.

Is Jill Surine's NPI active?

Yes — Jill Surine's NPI (1790317667) is active in the NPPES registry as of the last update on 2020-02-10.

IndividualActive

Jill Surine

NPI 1790317667 · Mental Health Counselor · Fort Wayne, IN

Jill Surine is a Mental Health Counselor provider in Fort Wayne, IN (NPI 1790317667).

Provider details

NPI number: 1790317667
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
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
6 yrs 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

909 E State Blvd

Fort Wayne, IN 46805-3458

Phone: (260) 481-2700

Fax: (260) 481-2838

Street-level locationGet directions

Mailing address