Individual provider Active NPI

Sherry D Fleming, EDD

  • Counseling Psychologist
  • Abilene, TX
National Provider Identifier
1366551475
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
23771 Issued in TX
Practice address
170 County Road 332
Abilene, TX 79606-7114
Phone
(325) 692-1530
Fax
(325) 692-3318
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 23771 TX Primary

Addresses

Primary practice location

170 County Road 332
Abilene, TX 79606-7114

Mailing address

170 County Road 332
Abilene, TX 79606-7114
Phone (325) 692-1530

Other practice location 1

4601 Buffalo Gap Rd
Suite A 1
Abilene, TX 79606-3361
Phone (325) 692-1530

Other identifiers 1

IdentifierTypeStateIssuer
00J89POtherTXBC

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1366551475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COUNTY ROAD 332",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796067114",
            "telephone_number": "325-692-1530",
            "fax_number": "325-692-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COUNTY ROAD 332",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796067114",
            "telephone_number": "325-692-1530",
            "fax_number": "325-692-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Buffalo Gap Rd",
            "address_2": "Suite A 1",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796063361",
            "country_code": "US",
            "telephone_number": "325-692-1530",
            "fax_number": "325-692-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "SHERRY",
        "middle_name": "D",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "23771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "00J89P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.