Individual provider Active NPI

Anita Sheridan-Normann, LPC-S, NCC, BC-TMH

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1063842292
Registry record updated Sep 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67964 Issued in TX
Practice address
407 W Main St
Round Rock, TX 78664-5831
Phone
(512) 200-3635
Fax
(888) 974-1214
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2022

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 67964 TX Primary

Addresses

Primary practice location

407 W Main St
Round Rock, TX 78664-5831

Mailing address

PO Box 595
Round Rock, TX 78680-0595
Phone (512) 289-4619

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

LicenseStateTypeSpecialty
67964TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grey Matters Counseling & Consulting, PLLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

407 W Main St
Ste 200
Round Rock, TX 78664
Phone (512) 289-4619

Organizations & group practices 1

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": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663977600000",
    "number": "1063842292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786800595",
            "telephone_number": "512-289-4619",
            "fax_number": "888-974-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645831",
            "telephone_number": "512-200-3635",
            "fax_number": "888-974-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN-NORMANN",
        "first_name": "ANITA",
        "credential": "LPC-S, NCC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.