Individual provider Active NPI

Diane Kaehr, MS, LMFTA, LMHCA

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1356819346
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
35002034A Issued in IN
Practice address
1825 Beacon St
Fort Wayne, IN 46805-4750
Phone
(260) 484-4153
Fax
(260) 484-2337
NPI assigned
Nov 7, 2018
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 35002034A IN Primary

Addresses

Primary practice location

1825 Beacon St
Fort Wayne, IN 46805-4750

Mailing address

1825 Beacon St
Fort Wayne, IN 46805-4750
Phone (260) 484-4153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
35002034AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroad - Fort Wayne Childrens Home Past Accepting new patients
Crossroad Child & Family Services, Inc. PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1356819346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054750",
            "telephone_number": "260-484-4153",
            "fax_number": "260-484-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054750",
            "telephone_number": "260-484-4153",
            "fax_number": "260-484-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEHR",
        "first_name": "DIANE",
        "credential": "MS, LMFTA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "35002034A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.