Individual provider Active NPI

Hannah Ranae Cronkhite, MA

  • Mental Health Counselor
  • Warsaw, IN
National Provider Identifier
1619695988
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
105 Enterprise Dr
Warsaw, IN 46580-1204
Phone
(574) 268-0448
Fax
(574) 549-9039
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 IN Primary

Addresses

Primary practice location

105 Enterprise Dr
Warsaw, IN 46580-1204

Mailing address

105 Enterprise Dr
Warsaw, IN 46580-1204
Phone (574) 268-0448

Other practice location 1

6202 Constitution Dr Ste D
Fort Wayne, IN 46804-1583
Phone (260) 432-0066

Other practice location 2

2201 N Wayne St
Angola, IN 46703-9108
Phone (260) 432-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820001296 IN Practitioner - Mental Health Counselor 0648779173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 E Gilmore St
Angola, IN 46703-1535

2621 E Jefferson St
Warsaw, IN 46580-3880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc Current Accepting new patients
Lifeworks Counseling & Consulting, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Bowen Health Inc CurrentSince Aug 11, 2025 Accepting new patients

Locations

2201 N Wayne St
Angola, IN 46703
Phone (260) 432-0066

6202 Constitution Dr
Ste D
Fort Wayne, IN 46804
Phone (260) 432-0066

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

105 Enterprise Dr
Warsaw, IN 46580
Phone (574) 268-0448

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1619695988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ENTERPRISE DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465801204",
            "telephone_number": "574-268-0448",
            "fax_number": "574-549-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ENTERPRISE DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465801204",
            "telephone_number": "574-268-0448",
            "fax_number": "574-549-9039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6202 Constitution Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041583",
            "country_code": "US",
            "telephone_number": "260-432-0066",
            "fax_number": "260-432-8503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 N Wayne St",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "IN",
            "postal_code": "467039108",
            "country_code": "US",
            "telephone_number": "260-432-0066",
            "fax_number": "260-432-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONKHITE",
        "first_name": "HANNAH",
        "middle_name": "RANAE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.