Kimberly Dawn Schenke, MA LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003487A Issued in IN

Practice address

1910 Saint Joe Center Rd Ste 64
Fort Wayne, IN 46825-5000

Phone

(260) 222-7516

Fax

(260) 236-0906

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherry Blossom Holistic Counseling

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1457137069
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1013576008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 CALIFORNIA AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054450",
            "telephone_number": "260-402-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD STE 64",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-222-7516",
            "fax_number": "260-236-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKE",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003487A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela D Scheid, PNP
• Jennifer Lea Scheiderer, PT
• Kimberly J Schelb, MD
• Lindsey Schelfo
• Heather Brianna Schell, MSN, WHNP-BC, RNC
• Paul David Schenkel
• Trischelle T. Schenkel, ATC, LAT
• Jacqueline A. Scher, NP
• Miranda Scher, ATC, MBA, LAT
• Derek Scherbel, MD

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.