Active NPI
Deana Sherbondy, MA, LMHC
- Mental Health Counselor
- La Porte, IN
National Provider Identifier
1194064568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39002214A
- Practice address
- 809 Jefferson Ave
La Porte, IN 46350-3431 - Phone
- (219) 898-5646
- NPI assigned
- Feb 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002214A | IN | Primary |
Addresses
Primary practice location
809 Jefferson Ave
La Porte, IN 46350-3431
Mailing address
809 Jefferson Avenue
La Porte, IN 46350-3431
Phone (219) 898-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39002214A | Medicaid | IN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002214A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1194064568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 JEFFERSON AVENUE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503431",
"telephone_number": "219-898-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 JEFFERSON AVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503431",
"telephone_number": "219-898-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERBONDY",
"first_name": "DEANA",
"name_prefix": "Mrs.",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002214A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39002214A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.