Staci Sherrard, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

104485 Issued in KY

Practice address

3701 Lansdowne Drive
Ashland, KY 41102

Phone

(606) 324-3005

Fax

(606) 329-1530

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pathways Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1982615043
  Medicare reassignment NPD
• Pathways, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1609260199
  NPD

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1356690457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LANSDOWNE DRIVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-324-3005",
            "fax_number": "606-329-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRARD",
        "first_name": "STACI",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100283040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnie M Shelton, DMD
• Jay Allen Shepherd, M.D.
• Christina Sheppard, ARNP
• Karlie Sheppard
• Garrick Todd Sherman, MD
• Kari D Shields, MD
• Amy Shimer, SLP
• Rebecca Shivel
• David Matthew Shore, PHARMD
• Brittany Short

• Professional Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.