Breanna Niambi Cherry

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP10273 Issued in MD

Practice address

5010 Regency PL Ste 203
White Plains, MD 20695-3088

Phone

(240) 427-3554

NPI assigned

Nov 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1114682911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 REGENCY PL STE 203",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953088",
            "telephone_number": "240-427-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 REGENCY PL STE 203",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953088",
            "telephone_number": "240-427-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "BREANNA",
        "middle_name": "NIAMBI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbarnwell@qcihealth.com",
            "affiliation": "Y",
            "endpointDescription": "Office Manager",
            "affiliationName": "QCI Behavioral Health Consulting Group, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5010 Regency Pl Ste 203",
            "city": "White Plains",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206953088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in White Plains, MD
• Providers in White Plains, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.