Individual provider Active NPI

Cherrell Evans-Tillery

  • Marriage & Family Therapist
  • Newburgh, NY
National Provider Identifier
1033053038
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
P141502 Issued in NY
Practice address
100 Stony Brook CT
Newburgh, NY 12550-6519
Phone
(914) 734-5248
NPI assigned
Apr 18, 2026
Last updated
Apr 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P141502 NY Primary

Addresses

Primary practice location

100 Stony Brook CT
Newburgh, NY 12550-6519

Mailing address

34 Roosevelt Ave
Poughkeepsie, NY 12601-3719
Phone (845) 891-7137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P141502NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Venzor LCSW Psychotherapy PC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1033053038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ROOSEVELT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013719",
            "telephone_number": "845-891-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506519",
            "telephone_number": "914-734-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-TILLERY",
        "first_name": "CHERRELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P141502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.