Healthcare Provider Details

I. General information

NPI: 1619897493
Provider Name (Legal Business Name): RACHEL ANN HANENKRATT LMFT, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS RACHEL ANN LENGACHER

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 AIRPORT NORTH OFFICE PARK
FORT WAYNE IN
46825-6706
US

IV. Provider business mailing address

613 AIRPORT NORTH OFFICE PARK
FORT WAYNE IN
46825-6706
US

V. Phone/Fax

Practice location:
  • Phone: 260-414-6548
  • Fax:
Mailing address:
  • Phone: 260-414-6548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35002123
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39004019
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: