Individual provider Active NPI

Cheryl Marye Allen, MS, LPCC-S

  • Professional Counselor
  • Cape Coral, FL
National Provider Identifier
1104063130
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0500464 Issued in OH
Practice address
1902 NW 21St Ave
Cape Coral, FL 33993-5984
Phone
(614) 870-6670
Fax
(614) 343-1538
NPI assigned
Jan 13, 2009
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11072541 TN
Professional Counselor 101YP2500X LPC0000004166 TN
Professional Counselor 101YP2500X E0500464 OH Primary

Addresses

Primary practice location

1902 NW 21St Ave
Cape Coral, FL 33993-5984

Mailing address

1902 NW 21St Ave
Cape Coral, FL 33993-5984
Phone (614) 870-6670

Other practice location 1

1205 Reston Ct
Knoxville, TN 37923-2066
Phone (614) 870-6670

Other practice location 2

2740 E Main St Ste C
Bexley, OH 43209-2579
Phone (614) 870-6670

Other practice location 3

333 Heritage Hill Trl
Louisville, KY 40223-5558
Phone (614) 870-6670

Other practice location 4

15550 McGregor Blvd
Fort Myers, FL 33908-2579
Phone (239) 359-7522

Other identifiers 9

IdentifierTypeStateIssuer
11072541OtherTNEXECUTIVE CERTIFICATE
3083478MedicaidOH
22171OtherFLFLORIDA LMHC-S
C11544OtherORLPC
0306521MedicaidOH
Q047282MedicaidTN
7100973770MedicaidKY
E0500464OtherOHLICENSURE
LPC0000004166OtherTNLICENSURE

Other names 1

  • Ms. Cheryl Marye Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505000570 KY Practitioner - Mental Health Counselor 2365985694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1902 NW 21St Ave
Cape Coral, FL 33993-5984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11072541TNMDMental Health Counselor
E0500464OHMDProfessional Counselor
LPC0000004166TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling, LTD. Mental Health CurrentSince May 4, 2017 Accepting new patients
Counseling Unlimited and Virtual Visits Mental Health CurrentSince Jun 7, 2026 Accepting new patients

Locations

1535 Georgesville Rd
Columbus, OH 43228
Phone (614) 807-6670

6500 Papermill Dr
Ste 212
Knoxville, TN 37919

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1104063130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 NW 21ST AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339935984",
            "telephone_number": "614-870-6670",
            "fax_number": "614-343-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 NW 21ST AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339935984",
            "telephone_number": "614-870-6670",
            "fax_number": "614-343-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Reston Ct",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379232066",
            "country_code": "US",
            "telephone_number": "614-870-6670",
            "fax_number": "614-870-6855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 E Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Bexley",
            "state": "OH",
            "postal_code": "432092579",
            "country_code": "US",
            "telephone_number": "614-870-6670",
            "fax_number": "614-343-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Heritage Hill Trl",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402235558",
            "country_code": "US",
            "telephone_number": "614-870-6670",
            "fax_number": "614-343-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15550 McGregor Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339082579",
            "country_code": "US",
            "telephone_number": "239-359-7522",
            "fax_number": "239-359-7522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHERYL",
        "middle_name": "MARYE",
        "name_prefix": "Ms.",
        "credential": "MS, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "11072541",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000004166",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXECUTIVE CERTIFICATE",
            "identifier": "11072541",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083478",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LMHC-S",
            "identifier": "22171",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "C11544",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306521",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q047282",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100973770",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "E0500464",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "LPC0000004166",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "BAKER",
            "middle_name": "MARYE",
            "prefix": "MS.",
            "credential": "MS, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.