Individual provider Active NPI

Sherry Diann Flewellen-Ervin, LPC,LCDC

  • Counselor
  • Dallas, TX
National Provider Identifier
1346667474
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
68857 Issued in TX
Practice address
501 Wynnwood Village
Dallas, TX 75224
Phone
(214) 622-2713
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 68857 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7985 TX

Addresses

Primary practice location

501 Wynnwood Village
Dallas, TX 75224

Mailing address

1526 S Beckley Ave
Dallas, TX 75224-1515
Phone (214) 622-2713

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
68857TXMDCounselor
7985TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1346667474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 S BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241515",
            "telephone_number": "214-622-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WYNNWOOD VILLAGE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-622-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEWELLEN-ERVIN",
        "first_name": "SHERRY",
        "middle_name": "DIANN",
        "name_prefix": "Ms.",
        "credential": "LPC,LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "68857",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "7985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.