MEDICARE: CHERI L RHOADES MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39002632A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891052692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERI L RHOADES MA, LMHC

Provider Business Mailing Address
First Line	:	607 AIRPORT NORTH OFFICE PARK
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-6706
Country	:	US
Telephone Number	:	260-413-1628
Fax Number	:	260-432-8503

Provider Business Practice Location Address
First Line	:	607 AIRPORT NORTH OFFICE PARK
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-6706
Country	:	US
Telephone Number	:	260-413-1628
Fax Number	:	260-432-8503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	12/05/2022

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