Charlene Jean Roth, LMFT - Couples Therapy in Shipshewana, IN

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Charlene Jean Roth, LMFT is a Marriage & Family Therapist based in Shipshewana, Indiana. Charlene Jean Roth is licensed to practice in Indiana (license number 35001635A) and her current practice location is 5460 N 450 W, Shipshewana, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 463-6915.

NPI number for Charlene Jean Roth is 1083862072 and her current mailing address is Po Box 292, Lagrange, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083862072.

Contact Information

Charlene Jean Roth, LMFT
5460 N 450 W,
Shipshewana, IN 46565-8504
(260) 463-6915
(260) 499-4158

Map and Direction


Healthcare Provider's Profile

Full NameCharlene Jean Roth
GenderFemale
SpecialityMarriage & Family Therapist
Location5460 N 450 W, Shipshewana, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083862072
  • Provider Enumeration Date: 09/03/2008
  • Last Update Date: 09/03/2008

Medical Identifiers

Medical identifiers for Charlene Jean Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083862072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 35001635A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlene Jean Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlene Jean Roth, LMFT
Po Box 292,
Lagrange, IN 46761-0292

Ph: (260) 463-6915		Charlene Jean Roth, LMFT
5460 N 450 W,
Shipshewana, IN 46565-8504

Ph: (260) 463-6915

Reviews and Comments


Marriage & Family Therapist in Shipshewana, IN


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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