Individual provider Active NPI

Sheryll A Ellery, LMHC, CADAC

  • Mental Health Counselor
  • Pittsfield, MA
National Provider Identifier
1205919669
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5990 Issued in MA
Practice address
25 Henry Ave
Pittsfield, MA 01201-6722
Phone
(413) 446-7818
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MA
Mental Health Counselor 101YM0800X 5990 MA Primary

Addresses

Primary practice location

25 Henry Ave
Pittsfield, MA 01201-6722

Mailing address

25 Henry Ave
Pittsfield, MA 01201-6722
Phone (413) 446-7818

Other identifiers 1

IdentifierTypeStateIssuer
5990OtherMALMHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002762 MA Practitioner - Mental Health Counselor 4082106208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Henry Ave
Pittsfield, MA 01201-6722

PO Box
Suite 105
Easthampton, MA 01027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5990MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheryll Ellery LLC Mental Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

25 Henry Ave
Pittsfield, MA 01201
Phone (413) 358-3551

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.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1205919669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HENRY AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016722",
            "telephone_number": "413-446-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HENRY AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016722",
            "telephone_number": "413-446-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERY",
        "first_name": "SHERYLL",
        "middle_name": "A",
        "credential": "LMHC, CADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "5990",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.