Kristin O'Conner Sherrets, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001314 Issued in IA

Practice address

2349 Jamestown Ave Ste 7
Independence, IA 50644-9709

Phone

(319) 327-7711

Fax

(319) 435-6797

NPI assigned

May 22, 2009

Last updated

Nov 20, 2024By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 30, 2024 through Sep 30, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Changing Leaf Counseling

  • Mental Health Counselor
  • Independence, IA
  • NPI 1841156551
  NPD Authorized official
• Capstone Behavioral Healthcare, Inc

  • Community/Behavioral Health Agency
  • Newton, IA
  • NPI 1174598908
  NPD (past)
• Poweshiek County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grinnell, IA
  • NPI 1528166360
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1366677130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 JAMESTOWN AVE STE 7",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449709",
            "telephone_number": "319-327-7711",
            "fax_number": "319-435-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 JAMESTOWN AVE STE 7",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449709",
            "telephone_number": "319-327-7711",
            "fax_number": "319-435-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNER SHERRETS",
        "first_name": "KRISTIN",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "06946",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069468",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trey Mueller, PHARMD
• Ashlyn Mustard
• NLM Iowa Therapy and Counseling, PLLC
• Emily Ann Norland, LMT
• Northland Hearing Centers, Inc. (Hearing Unlimited - Independence)
• Lauren Oldag, LISW
• Jenna Lynne Owen, OTD
• Rasiklal V Patel, MD
• Pathways Behavioral Services
• Pathways Behavioral Services Inc

• Mental Health Counselor in Independence, IA
• Providers in Independence, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.