Individual provider Active NPI

Sherri Lynn O'Lonergan

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1063275618
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0004784 Issued in CO
Practice address
1090 Pond Side Dr
Colorado Springs, CO 80911-3832
Phone
(719) 651-4938
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0004784 CO Primary

Addresses

Primary practice location

1090 Pond Side Dr
Colorado Springs, CO 80911-3832

Mailing address

1090 Pond Side Dr
Colorado Springs, CO 80911-3832
Phone (719) 651-4938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250108003724 CO Practitioner - Mental Health Counselor 3173051877 Reassigns benefits to 1 organization
Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2500 N Circle Dr
Colorado Springs, CO 80909-1115
Phone (719) 651-4938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004784COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Oct 1, 2025 Accepting new patients
Behavioral Sleep Medicine, LLC Professional Past Accepting new patients
Lighthouse Clinical Services LLC Past Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

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, 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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1063275618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 POND SIDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113832",
            "telephone_number": "719-651-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 POND SIDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113832",
            "telephone_number": "719-651-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LONERGAN",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0004784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.