Active NPI
Jemsa Hawkeyes Sheriff
- Mental Health Counselor
- Leicester, VT
National Provider Identifier
1164555751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0680000634
- Practice address
- 144 Partridge TRL
Leicester, VT 05733-8348 - Phone
- (802) 247-0958
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000329 | VT | |
| Mental Health Counselor | 101YM0800X | 0680000634 | VT | Primary |
Addresses
Primary practice location
144 Partridge TRL
Leicester, VT 05733-8348
Mailing address
144 Partridge TRL
Leicester, VT 05733-8348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 5, 2025 through Dec 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000329 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 0680000634 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1164555751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 PARTRIDGE TRL",
"city": "LEICESTER",
"state": "VT",
"postal_code": "057338348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 PARTRIDGE TRL",
"city": "LEICESTER",
"state": "VT",
"postal_code": "057338348",
"telephone_number": "802-247-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIFF",
"first_name": "JEMSA",
"middle_name": "HAWKEYES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000329",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "0680000634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leicester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.