Active NPI
Sherrica Cressor, LMHC
- Mental Health Counselor
- Cuba, NM
National Provider Identifier
1174924344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CCMH0197691
- Practice address
- 20 Pond Road
County Road 11
Cuba, NM 87114 - Phone
- (505) 346-0075
- NPI assigned
- Sep 8, 2014
- Last updated
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11815 | FL | |
| Mental Health Counselor | 101YM0800X | CCMH0197691 | NM | Primary |
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
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11815 | FL | MD | Mental Health Counselor |
| CCMH0197691 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amikids Sandoval, Inc. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
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- Farmington, NM
- NPI 1407376585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1174924344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580",
"city": "CUBA",
"state": "NM",
"postal_code": "870130580",
"telephone_number": "305-469-8277",
"fax_number": "575-289-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 POND ROAD",
"address_2": "COUNTY ROAD 11",
"city": "CUBA",
"state": "NM",
"postal_code": "87114",
"telephone_number": "505-346-0075"
}
],
"practiceLocations": [
{
"address_1": "45 NW 8th St",
"address_2": "105",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330304452",
"country_code": "US",
"telephone_number": "305-246-0210",
"fax_number": "305-246-0310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESSOR",
"first_name": "SHERRICA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11815",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CCMH0197691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cuba, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.