Individual provider Active NPI

Cheryl Renee Chesser

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1134553035
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5251 Highway Ave
101
Jacksonville, FL 32254-3694
Phone
(904) 703-7774
Fax
(904) 683-8169
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5251 Highway Ave
101
Jacksonville, FL 32254-3694

Mailing address

5251 Highway Ave
101
Jacksonville, FL 32254-3694
Phone (904) 703-7774

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

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1134553035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 HIGHWAY AVE",
            "address_2": "101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543694",
            "telephone_number": "904-703-7774",
            "fax_number": "904-683-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 HIGHWAY AVE",
            "address_2": "101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543694",
            "telephone_number": "904-703-7774",
            "fax_number": "904-683-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESSER",
        "first_name": "CHERYL",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.