Individual provider Active NPI

Sherry Malana Todd, LPC, ATR, CTS

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1215941935
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002634 Issued in VA
Practice address
117 W 21St St
Suite 209
Norfolk, VA 23517-2246
Phone
(757) 635-3394
Fax
(757) 425-4461
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002634 VA Primary

Addresses

Primary practice location

117 W 21St St
Suite 209
Norfolk, VA 23517-2246

Mailing address

PO Box 1555
Virginia Beach, VA 23451-9555
Phone (757) 635-3394

Other identifiers 1

IdentifierTypeStateIssuer
010195527MedicaidVA

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

LicenseStateTypeSpecialty
0701002634VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vita Neurotherapy LLC Professional Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215941935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1555",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234519555",
            "telephone_number": "757-635-3394",
            "fax_number": "757-425-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 21ST ST",
            "address_2": "SUITE 209",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172246",
            "telephone_number": "757-635-3394",
            "fax_number": "757-425-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "SHERRY",
        "middle_name": "MALANA",
        "name_prefix": "Ms.",
        "credential": "LPC, ATR, CTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010195527",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.