Individual provider Active NPI

Cherie Taylor, LPC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1215557806
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009079 Issued in VA
Practice address
4005 Electric Rd Ste 202
Roanoke, VA 24018-8435
Phone
(540) 988-4727
Fax
(540) 988-4595
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009079 VA Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

4005 Electric Rd Ste 202
Roanoke, VA 24018-8435

Mailing address

4005 Electric Rd Ste 202
Roanoke, VA 24018-8435
Phone (540) 988-4727

Other practice location 1

3959 Electric Rd Ste 425
Roanoke, VA 24018-4563
Phone (540) 206-2385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260220000444 VA Practitioner - Mental Health Counselor 4082195847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701009079VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Feb 1, 2026 Accepting new patients
Breakforth Counseling and Consulting LLC PastSince Jun 7, 2020 Accepting new patients

Locations

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

999 Waterside Dr
Ste 2600
Norfolk, VA 23510
Phone (202) 766-7689

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1215557806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 ELECTRIC RD STE 202",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188435",
            "telephone_number": "540-988-4727",
            "fax_number": "540-887-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 ELECTRIC RD STE 202",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188435",
            "telephone_number": "540-988-4727",
            "fax_number": "540-988-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3959 Electric Rd Ste 425",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240184563",
            "country_code": "US",
            "telephone_number": "540-206-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHERIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009079",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.