Individual provider Active NPI

Jessica Schacher, LMHC

  • Counselor
  • Fort Wayne, IN
National Provider Identifier
1689458192
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
39005345A Issued in IN
Practice address
4630 W Jefferson Blvd Ste 3
Fort Wayne, IN 46804-6800
Phone
(260) 250-2682
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 88001972A IN
Counselor 101Y00000X 39005345A IN Primary

Addresses

Primary practice location

4630 W Jefferson Blvd Ste 3
Fort Wayne, IN 46804-6800

Mailing address

4630 W Jefferson Blvd Ste 3
Fort Wayne, IN 46804-6800
Phone (260) 619-1413

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
I20251021002616 IN Practitioner - Mental Health Counselor 0749778900 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)

2700 Lafayette St
Suite 110
Fort Wayne, IN 46806-1100

6619 Brotherhood Way
Fort Wayne, IN 46825-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39005345AINMDCounselor
88001972AINMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health Centers, Inc. Current Accepting new patients
Alliance Health Centers, Inc. CurrentSince Oct 9, 2025 Accepting new patients
Alliance Health Centers Inc. CurrentSince Oct 9, 2025 Accepting new patients

Locations

2700 Lafayette St
Ste 110
Fort Wayne, IN 46806
Phone (260) 660-0780

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1689458192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 W JEFFERSON BLVD STE 3",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046800",
            "telephone_number": "260-619-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 W JEFFERSON BLVD STE 3",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046800",
            "telephone_number": "260-250-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHER",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "88001972A",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39005345A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.