Sheryl Lynne Wakeling, MA QMHP LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3508 Issued in OR

Practice address

1118 Oak St SE
Salem, OR 97301-4019

Phone

(503) 585-4949

NPI assigned

Jan 2, 2007

Last updated

Oct 5, 2014By 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 2

Addresses

Other names 1

• Ms. Sheryl Lynne Cook Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Salem Pastoral Counseling CenterGroup PAC ID 3577902287, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Salem Pastoral Counseling Center

  • Marriage & Family Therapist
  • Salem, OR
  • NPI 1992842850

  Professional

  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  OR, Professional

  Medicare reassignment Care Compare group NPD
• Marion County

  dba Marion County Health Department

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1528147782
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412467200000",
    "number": "1447317375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 SW ROXBURY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255142",
            "telephone_number": "503-957-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 OAK ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014019",
            "telephone_number": "503-585-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKELING",
        "first_name": "SHERYL",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MA  QMHP LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3508",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "COOK",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "MA QMHP LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johanna Faith Wagner
• Kaja Wagner
• Melanie Leanne Wagner, MOT
• John Waite, DMD
• Erin Ann Wakefield
• Ellie Waker, PT
• Wal-Mart Stores, Inc (Vision Center 30-5368)
• Wal-Mart Stores, Inc (Vision Center 30-1784)
• Wal-Mart Stores, Inc (Vision Center 30-1920)
• Jeremy Gaylon Waldie, PA-C

• Professional Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.