Individual provider Active NPI

Sheryll Ann Waring, LPC LADC

  • Professional Counselor
  • Glastonbury, CT
National Provider Identifier
1346405289
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000695 Issued in CT
Practice address
352 Griswold Street
3Rd Floor
Glastonbury, CT 06033
Phone
(860) 933-5532
Fax
(860) 942-8274
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000791 CT
Professional Counselor 101YP2500X 000695 CT Primary

Addresses

Primary practice location

352 Griswold Street
3Rd Floor
Glastonbury, CT 06033

Mailing address

352 Griswold Street
3Rd Floor
Glastonbury, CT 06033
Phone (860) 933-5532

Other identifiers 1

IdentifierTypeStateIssuer
1346405289MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003127 CT Practitioner - Mental Health Counselor 8123461506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 Pratt St
Glastonbury, CT 06033-1014
Phone (860) 933-5532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000695CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheryll Waring LPC Ladc LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

33 Pratt St
Glastonbury, CT 06033
Phone (860) 933-5532

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1346405289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 GRISWOLD STREET",
            "address_2": "3RD FLOOR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-933-5532",
            "fax_number": "860-942-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 GRISWOLD STREET",
            "address_2": "3RD FLOOR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-933-5532",
            "fax_number": "860-942-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARING",
        "first_name": "SHERYLL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000791",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346405289",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.