Bryan William Smith, LMFT
NPI 1073802997ActiveIndividual· Marriage & Family Therapist· Fort Wayne, IN
Marriage & Family Therapist (LMFT) with Park Center Inc, practicing in Fort Wayne, Indiana. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1073802997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMFT |
| Sole proprietor | No |
| NPI issued | Mar 31, 2011 |
| Last updated in NPPES | Apr 11, 2025 |
| Certified by provider | Apr 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 35001696A | IN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 87000162A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (IN) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Park Center IncFort Wayne, IN · 46 clinicians
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