Individual provider · Type 1 NPI

Brian Mockenhaupt

Mental Health Counselor · Fort Wayne, IN

NPI number 1235862871 Active

Practice location

6131 Stoney Creek Dr
Fort Wayne, IN 46825-4408

Mailing address

2016 Pemberton Dr
Fort Wayne, IN 46805-4626

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235862871

Brian Mockenhaupt's National Provider Identifier is 1235862871, issued on Jul 1, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 9, 2026.