Individual provider Active NPI

Sherry A. McKisson, NCC, LPC, LCASA

  • Mental Health Counselor
  • Hendersonville, NC
National Provider Identifier
1235559576
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10582 Issued in NC
Practice address
840 Fleming St
Hendersonville
Hendersonville, NC 28791-3513
Phone
(828) 692-8097
NPI assigned
Apr 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10582 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20448 NC

Addresses

Primary practice location

840 Fleming St
Hendersonville
Hendersonville, NC 28791-3513

Mailing address

840 Fleming St
Hendersonville
Hendersonville, NC 28791-3513
Phone (828) 692-8097

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
20448NCMDPharmacist
10582NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1235559576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 FLEMING ST",
            "address_2": "HENDERSONVILLE",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913513",
            "telephone_number": "828-692-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 FLEMING ST",
            "address_2": "HENDERSONVILLE",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913513",
            "telephone_number": "828-692-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSON",
        "first_name": "SHERRY",
        "middle_name": "A.",
        "credential": "NCC, LPC, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10582",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.