Active NPI
Mary Ellen Sherrill, LCSW, RPT-S
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1083782445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29189
- Practice address
- 1941 East Rd
Houston, TX 77054-6010 - Phone
- (713) 486-2700
- Fax
- (713) 486-2797
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29189 | TX | Primary |
Addresses
Primary practice location
1941 East Rd
Houston, TX 77054-6010
Mailing address
PO Box 301173
Dallas, TX 75303-1173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042323801 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29189 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewing Hope Counseling, LLC | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Houston, TX
- NPI 1700110871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1083782445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301173",
"city": "DALLAS",
"state": "TX",
"postal_code": "753031173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 EAST RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770546010",
"telephone_number": "713-486-2700",
"fax_number": "713-486-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRILL",
"first_name": "MARY ELLEN",
"name_prefix": "Ms.",
"credential": "LCSW, RPT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "29189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042323801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.