Individual provider Active NPI

Sherri Lynn Eichers, PSY.D., LP

  • Clinical Psychologist
  • Saint Cloud, MN
National Provider Identifier
1003116047
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5554 Issued in MN
Practice address
1321 13TH St N
Saint Cloud, MN 56303-2613
Phone
(320) 252-5010
Fax
(320) 252-0908
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5554 MN Primary

Addresses

Primary practice location

1321 13TH St N
Saint Cloud, MN 56303-2613

Mailing address

1321 13TH St N
Saint Cloud, MN 56303-2613
Phone (320) 252-5010

Other identifiers 1

IdentifierTypeStateIssuer
1003116047OtherMNFOR ALL PURPOSES.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130306000341 MN Practitioner - Clinical Psychologist 5799930228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Center for Family Counseling IncGroup PAC ID 9638075963, 9 clinicians

Practice addresses (Care Compare)

2025 Stearns Way
Suite 111
Saint Cloud, MN 56303-1275
Phone (320) 253-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Counseling Inc CurrentSince May 1, 2023 Accepting new patients
Central Minnesota Mental Health Center CurrentSince May 15, 2017 Accepting new patients
Central Minnesota Mental Health Center Current Accepting new patients

Locations

308 12th Ave S
Buffalo, MN 55313
Phone (763) 682-4400

1321 13th St N
Saint Cloud, MN 56303
Phone (320) 252-5010

2025 Stearns Way
Ste 111
Saint Cloud, MN 56303

411 3rd St N
Waite Park, MN 56387
Phone (320) 202-2037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1003116047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 13TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032613",
            "telephone_number": "320-252-5010",
            "fax_number": "320-252-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 13TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032613",
            "telephone_number": "320-252-5010",
            "fax_number": "320-252-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHERS",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "credential": "PSY.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOR ALL PURPOSES.",
            "identifier": "1003116047",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.