Individual provider Active NPI

Cherisse Hunter-Southern, ED.D.C.P.

  • Professional Counselor
  • Riverside, CA
National Provider Identifier
1447826847
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20939 Issued in CA
Practice address
3610 Central Ave Ste 400
Riverside, CA 92506-5907
Phone
(951) 250-8852
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 20939 CA Primary
Mental Health Counselor 101YM0800X 20939 CA

Addresses

Primary practice location

3610 Central Ave Ste 400
Riverside, CA 92506-5907

Mailing address

3610 Central Ave Ste 400
Riverside, CA 92506-5907
Phone (951) 250-8852

Other identifiers 1

IdentifierTypeStateIssuer
8861084OtherCADRIVERS LICENSE

Other names 1

  • Dr. Cherisse Southern 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20939CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soar & Live Inc Mental Health Current Accepting new patients
H.E.a.L.S. Inc Professional CurrentSince Jan 21, 2024 Accepting new patients

Locations

3610 Central Ave
Ste 400
Riverside, CA 92506
Phone (909) 300-5754

3638 University Ave
#226
Riverside, CA 92501

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1447826847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE STE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065907",
            "telephone_number": "951-250-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE STE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065907",
            "telephone_number": "951-250-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER-SOUTHERN",
        "first_name": "CHERISSE",
        "name_prefix": "Dr.",
        "credential": "ED.D.C.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "20939",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "20939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "8861084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERISSE",
            "last_name": "SOUTHERN",
            "prefix": "DR.",
            "credential": "LPCC 20939",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.