Individual provider Active NPI

Lesley Cherry

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1427342807
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT122816 Issued in CA
Practice address
1010 Grayson St Ste 3
Berkeley, CA 94710-2611
Phone
(650) 241-8631
NPI assigned
Jun 3, 2011
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT122816 CA Primary

Addresses

Primary practice location

1010 Grayson St Ste 3
Berkeley, CA 94710-2611

Mailing address

617 Veterans Blvd Ste 107
Redwood City, CA 94063-1404
Phone (650) 241-8631

Other practice location 1

555 Technology Ct
Riverside, CA 92507-2155
Phone (951) 686-8500 ext. 1419

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
LMFT122816CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wise Mind Institute, a Psychological Corporation CurrentSince Aug 14, 2022 Accepting new patients
Olive Crest PastSince Mar 11, 2025 Accepting new patients
Olive Crest PastSince Nov 10, 2024 Accepting new patients

Locations

617 Veterans Blvd
Ste 107
Redwood City, CA 94063
Phone (650) 200-3292

Organizations & group practices 3

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1427342807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 VETERANS BLVD STE 107",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631404",
            "telephone_number": "650-241-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 GRAYSON ST STE 3",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102611",
            "telephone_number": "650-241-8631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Technology Ct",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072155",
            "country_code": "US",
            "telephone_number": "951-686-8500 x1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "LESLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT122816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.