Marta Sheridan, EDD, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6500 Issued in CO

Practice address

12500 E Iliff Ave
Aurora, CO 80014-1268

Phone

(720) 506-9645

NPI assigned

Oct 19, 2007

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Marta Scalise Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Specialized Alternatives for Families and Youth of Colorado, Inc.

  dba SAFY of Colorado - Boulder

  • Case Management Agency
  • Fort Collins, CO
  • NPI 1164929550
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1447449939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141268",
            "telephone_number": "720-506-9645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Cambridge St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Brush",
            "state": "CO",
            "postal_code": "807231639",
            "country_code": "US",
            "telephone_number": "720-201-0586",
            "fax_number": "303-484-5829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "SCALISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Wayne Sherbenou, MD, PHD
• Wilhemina Catherine Shere-Strain, RPH
• Cali Sherer
• Erica Sherer, CNM
• Brianna Sheridan, FNP-BC
• Laura Sherlock, MD
• Hannah Muriel Sherman, MB(ASCP)CM
• Jordan Sherman
• Joseph Martin Sherman, M. D.
• Justin Sherman

• Mental Health Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.