Individual provider Active NPI

Sherry Ann Taylor-Butler, M.S.

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1437426848
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH6747 Issued in FL
Practice address
901 E 7TH CT
Panama City, FL 32401-3521
Phone
(850) 960-7862
Fax
(850) 215-7883
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH6747 FL Primary

Addresses

Primary practice location

901 E 7TH CT
Panama City, FL 32401-3521

Mailing address

901 E 7TH CT
Panama City, FL 32401-3521
Phone (850) 960-7862

Other names 1

  • Deanna Nettles Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH6747FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sherry Taylor Butler, LMHC Mental Health 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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1437426848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 7TH CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013521",
            "telephone_number": "850-960-7862",
            "fax_number": "850-215-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 7TH CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013521",
            "telephone_number": "850-960-7862",
            "fax_number": "850-215-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-BUTLER",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH6747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "NETTLES",
            "credential": "LMHC INTERN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.