Sherri L Borglum, MA, LCAT, CASAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCAT001267-1 Issued in NY

Practice address

21 Main St
Penn Yan, NY 14527

Phone

(716) 785-4725

NPI assigned

Dec 19, 2006

Last updated

Jun 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Sherri Reynolds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Inner Reaches Healing Arts, LLC

  • Professional Counselor
  • Rushville, NY
  • NPI 1811690944
  NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1124181094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 FERGUSON CORNERS RD",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449623",
            "telephone_number": "716-785-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "716-785-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGLUM",
        "first_name": "SHERRI",
        "middle_name": "L",
        "credential": "MA, LCAT, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "CASAC11992",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "CASAC 11992",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "LCAT001267-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "REYNOLDS",
            "credential": "MA, LCAT, CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Michael Bell, M.D.
• Dawn M Bergstresser, DPT
• Netta L Blakes
• Mary Blauvelt, LPN
• Victoria Blazey, DPT
• Caitlin Bowdoin, RN
• Persephone Boyd, LPN
• Stephanie Eleanor Brentnall, OTR
• Leighann Breuer
• Darlene D Brezinsky, NP

• Professional Counselor in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.