Active NPI
Sherrie Lynn Lynn Lilley
- Mental Health Counselor
- Jamaica, NY
National Provider Identifier
1033708342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11204 167TH St
Jamaica, NY 11433-3955 - Phone
- (718) 739-6200
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11204 167TH St
Jamaica, NY 11433-3955
Mailing address
3355 Bruner Ave
Bronx, NY 10469-2725
Phone (718) 581-8759
Other practice location 1
975 Walton Ave Apt 5Gs
Bronx, NY 10452-9522
Phone (914) 768-3786
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1033708342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 BRUNER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104692725",
"telephone_number": "718-581-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11204 167TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114333955",
"telephone_number": "718-739-6200"
}
],
"practiceLocations": [
{
"address_1": "975 Walton Ave Apt 5Gs",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104529522",
"country_code": "US",
"telephone_number": "914-768-3786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LILLEY",
"first_name": "SHERRIE LYNN",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.