Cheryl Barker, PHD

Key facts

NPI

1255780334

Entity type

Individual (NPI type 1)

Primary specialty

Counseling Psychologist 103TC1900X

License

1840 (OH)

Practice address

435 Woodlawn Cir
Berea, OH 44017-1231

Phone

(216) 789-5074

NPI assigned

Jun 8, 2016

Sex

Female

Sole proprietor

No

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.

• Psychological & Behavioral Consultants, LLC Psychiatry Physician · Beachwood, OH · NPI 1811915713
  NPD
• Palm Wellness, LLC Professional Counselor · Berea, OH · NPI 1851999650
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 25, 2024.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1255780334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 WOODLAWN CIR",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171231",
            "telephone_number": "216-789-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 WOODLAWN CIR",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171231",
            "telephone_number": "216-789-5074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6802 W Snowville Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Brecksville",
            "state": "OH",
            "postal_code": "441413295",
            "country_code": "US",
            "telephone_number": "216-831-6611",
            "fax_number": "216-456-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "CHERYL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Berea, OH · Counseling Psychologist in Ohio