CHARLENE JEAN ROTH LMFT
NPI 1083862072
Marriage & Family Therapist in Shipshewana, IN

Active since September 03, 2008
5460 N 450 W, SHIPSHEWANA, IN 46565(260) 463-6915(260) 499-4158 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charlene Jean Roth Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLENE JEAN ROTH LMFT (NPI 1083862072) is an individual marriage & family therapist in Shipshewana, Indiana, licensed in Indiana (35001635A) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1083862072
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHARLENE JEAN ROTHCredential: LMFT
Location Address5460 N 450 WShipshewana, IN 46565-8504
Mailing AddressPo Box 292Lagrange, IN 46761-0292 · (260) 463-6915 · Fax (260) 499-4158
Fax(260) 499-4158
Sole ProprietorYes
Enumeration DateSeptember 3, 2008
NPI 1083862072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in IN · 35001635A
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5460 N 450 W, Shipshewana, IN 46565

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
5460 N 450 W
SHIPSHEWANA, IN 46565

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083862072, enumerated as an "individual" on September 03, 2008.

The provider is located at 5460 N 450 W SHIPSHEWANA, IN 46565 and the phone number is (260) 463-6915.

Marriage & Family Therapist with taxonomy code 106H00000X.