Individual provider Active NPI

Sheila Hermes, M.ED., LPCC, LADC

  • Mental Health Counselor
  • Chisago City, MN
National Provider Identifier
1427464924
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC00789 Issued in MN
Practice address
11549 Lake LN
Suite 2
Chisago City, MN 55013-9830
Phone
(651) 257-2733
Fax
(651) 257-2783
NPI assigned
Jul 3, 2014
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 300524 MN
Mental Health Counselor 101YM0800X CC00789 MN Primary

Addresses

Primary practice location

11549 Lake LN
Suite 2
Chisago City, MN 55013-9830

Mailing address

11549 Lake LN
Suite 2
Chisago City, MN 55013-9830
Phone (651) 257-2733

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
300524MNMDAddiction (Substance Use Disorder) Counselor
CC00789MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Based Therapy Associates Mental Health PastSince Jan 1, 2024 Accepting new patients
Family Based Therapy Associates Past Accepting new patients

Organizations & group practices 2

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1427464924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11549 LAKE LN",
            "address_2": "SUITE 2",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139830",
            "telephone_number": "651-257-2733",
            "fax_number": "651-257-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 LAKE LN",
            "address_2": "SUITE 2",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139830",
            "telephone_number": "651-257-2733",
            "fax_number": "651-257-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMES",
        "first_name": "SHEILA",
        "credential": "M.ED., LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300524",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chisago City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.