Individual provider Active NPI

Kathryn Moreschi-Sherry

  • Professional Counselor
  • South Portland, ME
National Provider Identifier
1457754244
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
XL4335 Issued in ME
Practice address
131 Ocean St
South Portland, ME 04106-3649
Phone
(207) 899-6948
Fax
(207) 221-1315
NPI assigned
Oct 7, 2014
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC5259 ME
Professional Counselor 101YP2500X XL4335 ME Primary

Addresses

Primary practice location

131 Ocean St
South Portland, ME 04106-3649

Mailing address

PO Box 2522
South Portland, ME 04116-2522
Phone (207) 899-6948

Other names 1

  • Kathy L Sherry 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
CAC5259MEMDAddiction (Substance Use Disorder) Counselor
XL4335MEMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1457754244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2522",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041162522",
            "telephone_number": "207-899-6948",
            "fax_number": "207-221-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OCEAN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063649",
            "telephone_number": "207-899-6948",
            "fax_number": "207-221-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESCHI-SHERRY",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5259",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SHERRY",
            "middle_name": "L",
            "credential": "LCPC-C, CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.