Individual provider Active NPI

Linda Carole Sherrard, LPC, NCC

  • Professional Counselor
  • North Augusta, SC
National Provider Identifier
1104219617
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6677 Issued in SC
Practice address
1367 W Martintown Rd Ste 7
North Augusta, SC 29860
Phone
(803) 262-4307
Fax
(803) 845-4405
NPI assigned
Mar 7, 2015
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC010815 GA
Professional Counselor 101YP2500X 6677 SC Primary

Addresses

Primary practice location

1367 W Martintown Rd Ste 7
North Augusta, SC 29860

Mailing address

1367 W Martintown Rd Ste 7
North Augusta, SC 29860-8920
Phone (803) 262-4307

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

LicenseStateTypeSpecialty
LPC010815GAMDProfessional Counselor
6677SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1104219617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 W MARTINTOWN RD STE 7",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608920",
            "telephone_number": "803-262-4307",
            "fax_number": "803-845-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 W MARTINTOWN RD STE 7",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "29860",
            "telephone_number": "803-262-4307",
            "fax_number": "803-845-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRARD",
        "first_name": "LINDA",
        "middle_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-07",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010815",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.