NPIMap

Sherrica Cressor, LMHC

Individual provider Active NPI Mental Health Counselor · Cuba, NM

NPI 1174924344 · NPPES record last updated Apr 17, 2019

Key facts

NPI
1174924344
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
CCMH0197691 (NM)
Practice address
20 Pond Road
County Road 11
Cuba, NM 87114
Phone
(505) 346-0075
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MH11815FLMDMental Health Counselor
CCMH0197691NMMDMental Health Counselor

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Amikids Sandoval, Inc. Past
since May 16, 2021		 Accepting new patients

Networks

  • Freedom Health HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11815 FL
Mental Health Counselor 101YM0800X CCMH0197691 NM Yes

Addresses

Primary practice location

20 Pond Road
County Road 11
Cuba, NM 87114

Mailing address

PO Box 580
Cuba, NM 87013-0580
Phone (305) 469-8277

Other practice location 1

45 NW 8th St
105
Homestead, FL 33030-4452
Phone (305) 246-0210

Other identifiers

IdentifierTypeStateIssuer
CCMH0197691OtherNMNM COUNSELOR LICENSURE NUMBER

Other providers in Cuba, NM

All providers in Cuba, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.