Cheryl Wagoner LMHC Private Practice

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHERYL WAGONER LMHC PRIVATE PRACTICE

Practice address

6450 E McGuire Rd
Churubusco, IN 46723-9341

Phone

(260) 244-3427

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl WagonerNPI 1376727057

Title

LMHC

Phone

(260) 244-3427

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl Lea Wagoner, LMHC LICENSED MENTAL

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1376727057
  NPD (past) Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1760151153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 E MCGUIRE RD",
            "city": "CHURUBUSCO",
            "state": "IN",
            "postal_code": "467239341",
            "telephone_number": "260-244-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 E MCGUIRE RD",
            "city": "CHURUBUSCO",
            "state": "IN",
            "postal_code": "467239341",
            "telephone_number": "260-244-3427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4656 W Jefferson Blvd Ste 285",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468046838",
            "country_code": "US",
            "telephone_number": "260-244-3427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHERYL WAGONER LMHC PRIVATE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "260-244-3427"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aci Dental LLC
• Back to Chiropractic LLC
• Biddle Chiropractic, P.C.
• David W. Bolinger, DDS
• Chirocore
• Churubusco Family Dentistry, LLC
• Churubusco Family Medicine & Urgent Care
• Kimberly Lou Diller, D.C.
• Don E Lahrman DDS MSD Inc

• Mental Health Counselor in Churubusco, IN
• Providers in Churubusco, 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 Sep 9, 2021; 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.