Active NPI
Cherisse Hunter-Southern, ED.D.C.P.
- Professional Counselor
- Riverside, CA
National Provider Identifier
1447826847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8861084 | Other | CA | DRIVERS LICENSE |
Other names 1
- Dr. Cherisse Southern
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20939 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar & Live Inc | Mental Health | Current | Accepting new patients |
| H.E.a.L.S. Inc | Professional | Current | 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.
-
- Mental Health Counselor
- Upland, CA
- NPI 1467100883
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.