Individual provider Active NPI

Sherry McCrady

  • Counselor
  • Glen Carbon, IL
National Provider Identifier
1093359390
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
000000
Practice address
88 S Main St Ste 2
Glen Carbon, IL 62034-1415
Phone
(618) 288-8085
Fax
(618) 288-8959
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000000 Primary

Addresses

Primary practice location

88 S Main St Ste 2
Glen Carbon, IL 62034-1415

Mailing address

PO Box 639
Glen Carbon, IL 62034-0639
Phone (618) 288-8085

Other identifiers 1

IdentifierTypeStateIssuer
1134526973MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sherry.crady@AChelps.org

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

Interoperability endpoints

  • Direct secure messaging: sherry.crady@achelps.org

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1093359390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620340639",
            "telephone_number": "618-288-8085",
            "fax_number": "618-288-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 S MAIN ST STE 2",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341415",
            "telephone_number": "618-288-8085",
            "fax_number": "618-288-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRADY",
        "first_name": "SHERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134526973",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sherry.crady@AChelps.org",
            "affiliation": "N",
            "address_1": "88 S Main St Ste 2",
            "city": "Glen Carbon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620341415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.