Active NPI
Anita Sheridan-Normann, LPC-S, NCC, BC-TMH
- Professional Counselor
- Round Rock, TX
National Provider Identifier
1063842292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67964
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 67964 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grey Matters Counseling & Consulting, PLLC | Current | 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.
-
- Community/Behavioral Health Agency
- Round Rock, TX
- NPI 1437942935
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.