Organization Active NPI

Cheri Wakeham Counseling, LLC

  • Mental Health Counselor
  • Auburn, NY
National Provider Identifier
1063380350
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHERI WAKEHAM COUNSELING, LLC
Practice address
128 Grant Ave Ste 5
Auburn, NY 13021-2115
Phone
(315) 294-0736
Fax
(315) 903-7801
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Cheri Wakeham, LCSWNPI 1972050193
Title
Owner
Phone
(315) 294-0736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

128 Grant Ave Ste 5
Auburn, NY 13021-2115

Mailing address

76 Kearney Ave
Auburn, NY 13021-5315
Phone (315) 294-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205003182 NY Part B Supplier - Clinic/Group Practice 7315430469 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, NY

National Provider Directory

National Provider Directory

Locations

128 Grant Ave
Ste 5
Auburn, NY 13021
Phone (315) 294-0736

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1063380350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 KEARNEY AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130215315",
            "telephone_number": "315-294-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GRANT AVE STE 5",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212115",
            "telephone_number": "315-294-0736",
            "fax_number": "315-903-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERI WAKEHAM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "WAKEHAM",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-294-0736",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.