Individual provider Active NPI

Cherisse Hutcherson, LMHC

  • Mental Health Counselor
  • Glen Cove, NY
National Provider Identifier
1235799362
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009507 Issued in NY
Practice address
5 Brewster St # 569
Glen Cove, NY 11542-2549
Phone
(516) 308-1214
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009507 NY Primary

Addresses

Primary practice location

5 Brewster St # 569
Glen Cove, NY 11542-2549

Mailing address

5 Brewster St # 569
Glen Cove, NY 11542-2549
Phone (516) 308-1214

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
009507NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychologist on Wheels PC PastSince Jul 25, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1235799362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BREWSTER ST # 569",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422549",
            "telephone_number": "516-308-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BREWSTER ST # 569",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422549",
            "telephone_number": "516-308-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHERSON",
        "first_name": "CHERISSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.