Individual provider Active NPI

Sherry Kardmongmee, RN, LPC

  • Mental Health Counselor
  • Athens, OH
National Provider Identifier
1073020970
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2103270 Issued in OH
Practice address
224 Columbus Rd
Athens, OH 45701-1334
Phone
(740) 592-6724
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.288726 OH
Mental Health Counselor 101YM0800X C2103270 OH Primary

Addresses

Primary practice location

224 Columbus Rd
Athens, OH 45701-1334

Mailing address

109 N Plains Rd Apt 4
The Plains, OH 45780-2001
Phone (208) 590-1552

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
C2103270OHMDMental Health Counselor
RN.288726OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Recovery Services, Inc Mental Health Past Accepting new patients
Health Recovery Services, Inc Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1073020970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N PLAINS RD APT 4",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457802001",
            "telephone_number": "208-590-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011334",
            "telephone_number": "740-592-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDMONGMEE",
        "first_name": "SHERRY",
        "credential": "RN, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.288726",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C2103270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.