Individual provider Active NPI

Cheri Ann Meadowlark, MA, LMFT

  • Marriage & Family Therapist
  • Big Stone Gap, VA
National Provider Identifier
1043344724
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001765 Issued in VA
Practice address
43 Champions Ave
Big Stone Gap, VA 24219-1105
Phone
(276) 523-8300
Fax
(276) 523-8362
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 42368 CA
Marriage & Family Therapist 106H00000X 0717001765 VA Primary

Addresses

Primary practice location

43 Champions Ave
Big Stone Gap, VA 24219-1105

Mailing address

1167 Spratlin Park Dr
Johnson City, TN 37615-6205
Phone (423) 467-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL, VA, SD, NY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240610000204 DC Practitioner - Marriage and Family Therapist 3678015302 Reassigns benefits to 2 organizations
I20240716004870 FL Practitioner - Marriage and Family Therapist 3678015302 Reassigns benefits to 2 organizations
I20240906004213 VA Practitioner - Marriage and Family Therapist 3678015302 Reassigns benefits to 2 organizations
I20241203001541 SD Practitioner - Marriage and Family Therapist 3678015302 Reassigns benefits to 2 organizations
I20260608004212 NY Practitioner - Marriage and Family Therapist 3678015302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

101 S Reid St
Suite 307
Sioux Falls, SD 57103-7045
Phone (866) 630-0966

13282 April Cir
Lovettsville, VA 20180-3543
Phone (517) 256-9928

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601
Phone (866) 630-0966

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
42368CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince May 21, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Nov 1, 2024 Accepting new patients

Locations

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1043344724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CHAMPIONS AVE",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242191105",
            "telephone_number": "276-523-8300",
            "fax_number": "276-523-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWLARK",
        "first_name": "CHERI",
        "middle_name": "ANN",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "42368",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.