Individual provider Active NPI

La'Cuana Matria Sherman, LPC

  • Professional Counselor
  • Riverdale, GA
National Provider Identifier
1407290109
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007272 Issued in GA
Practice address
8455 Highway 85
Building 200 Suite B
Riverdale, GA 30274-5115
Phone
(678) 768-5993
Fax
(678) 868-1111
NPI assigned
Apr 24, 2013
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007272 GA Primary

Addresses

Primary practice location

8455 Highway 85
Building 200 Suite B
Riverdale, GA 30274-5115

Mailing address

8457 Taylor Rd
Riverdale, GA 30274-4440
Phone (404) 644-2970

Other practice location 1

259 Arrowhead Blvd Ste C1
Jonesboro, GA 30236-1167
Phone (678) 768-5993

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
LPC007272GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Support and Solutions, LLC Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1407290109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8457 TAYLOR RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744440",
            "telephone_number": "404-644-2970",
            "fax_number": "678-868-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 HIGHWAY 85",
            "address_2": "BUILDING 200 SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745115",
            "telephone_number": "678-768-5993",
            "fax_number": "678-868-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 Arrowhead Blvd Ste C1",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302361167",
            "country_code": "US",
            "telephone_number": "678-768-5993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "LA'CUANA",
        "middle_name": "MATRIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.