Individual provider Active NPI

Sherry Tipton, MA PSY, MHRS

  • Case Manager/Care Coordinator
  • Red Bluff, CA
National Provider Identifier
1295547685
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
590 Antelope Blvd Ste 40a
Red Bluff, CA 96080-2477
Phone
(530) 529-9454
Fax
(530) 529-9456
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

590 Antelope Blvd Ste 40a
Red Bluff, CA 96080-2477

Mailing address

PO Box 950
Red Bluff, CA 96080-0950
Phone (530) 529-9454

Other practice location 1

2608 Victor Ave Ste A
Redding, CA 96002-1447
Phone (530) 529-9454 ext. 119

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
His Ideas, Inc CurrentSince Jan 26, 2025 Accepting new patients
His Ideas, Inc CurrentSince Jan 26, 2025 Accepting new patients

Locations

590 Antelope Blvd
Ste 40A
Red Bluff, CA 96080
Phone (530) 529-9454

2608 Victor Ave
Ste A
Redding, CA 96002
Phone (530) 722-1022

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1295547685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960800950",
            "telephone_number": "530-529-9454",
            "fax_number": "530-529-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ANTELOPE BLVD STE 40A",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802477",
            "telephone_number": "530-529-9454",
            "fax_number": "530-529-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2608 Victor Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960021447",
            "country_code": "US",
            "telephone_number": "530-529-9454 x119",
            "fax_number": "530-529-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "SHERRY",
        "credential": "MA PSY, MHRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.