Rebeca G Ackermann, MSED, LMFT
Individual provider Active NPI Marriage & Family Therapist · Fort Wayne, IN
NPI 1013267897 · NPPES record last updated Nov 25, 2014
Key facts
- NPI
- 1013267897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 35001855A (IN)
- Practice address
- 2100 Goshen Rd
Fort Wayne, IN 46808-1493 - Phone
- (260) 471-3500
- Fax
- (260) 471-4263
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001855A | IN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 35001855A | IN | Yes |
Addresses
Primary practice location
2100 Goshen Rd
Fort Wayne, IN 46808-1493
Mailing address
2621 E Jefferson St
C/O Anne Lawson - Credentialing
Warsaw, IN 46580-3880
Phone (574) 269-0573
Other providers in Fort Wayne, IN
- Anamol Acharya
- Halie Louise Achor
- Acitve Day in, Inc.
- Herbert K.J. Acker
- Stefania Ackermann Villanueva
- Denise Calixta Acosta
- Kierra A Acosta
- Acquaro Medical Practice, PC
- Dominick Acquaro
- Dominick Joseph Acquaro
All providers in Fort Wayne, IN · Marriage & Family Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.