Healthcare Provider Details

I. General information

NPI: 1568804532
Provider Name (Legal Business Name): CHERYL ANNE HEMSOTH LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2013
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 N WAYNE ST SUITE 2A
ANGOLA IN
46703-1081
US

IV. Provider business mailing address

13007 TOSCANA PASSAGE
FORT WAYNE IN
46845
US

V. Phone/Fax

Practice location:
  • Phone: 260-668-8797
  • Fax: 260-665-1620
Mailing address:
  • Phone: 260-458-1599
  • Fax: 260-665-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number39001337A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39001337A
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: