Maryam Bedell, MA-A,RBT
Counselor, Mental Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1205409588
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1205409588
- Entity type
- Individual (NPI-1)
- Name
- Maryam Bedell
- Credential
- MA-A,RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2021
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 88003185A | IN | Yes |
| 106S00000X | Behavior Technician | RBT-21-176690 | IN |
Practice location
1400 Airport North Office Park Ste DFort Wayne, IN 46825-6723
Phone 260-702-9241
Mailing address
1400 Airport North Office Park Ste DFort Wayne, IN 46825-6723
Phone 260-702-9141
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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