Active NPI
Sherry E Cotterman-Fischer, LPCC
- Mental Health Counselor
- Granville, OH
National Provider Identifier
1053686550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0006474
- Practice address
- 935 River Rd
Suite I
Granville, OH 43023-9584 - Phone
- (740) 755-8051
- Fax
- (740) 366-8940
- NPI assigned
- Mar 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0006474 | OH | Primary |
Addresses
Primary practice location
935 River Rd
Suite I
Granville, OH 43023-9584
Mailing address
1285 Deer Run Rd
Newark, OH 43055-1777
Phone (740) 755-8051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0006474 | Other | OH | LPCC LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| E0006474 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1053686550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 DEER RUN RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551777",
"telephone_number": "740-755-8051",
"fax_number": "740-366-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 RIVER RD",
"address_2": "SUITE I",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239584",
"telephone_number": "740-755-8051",
"fax_number": "740-366-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTERMAN-FISCHER",
"first_name": "SHERRY",
"middle_name": "E",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-16",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0006474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPCC LICENSE",
"identifier": "E0006474",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.