Individual provider Active NPI

Linda Jean Sheridan, LPC, LCADC, NCC,

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1467697979
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00370200 Issued in NJ
Practice address
25 Roman St
Toms River, NJ 08757-3909
Phone
(908) 910-1255
NPI assigned
Dec 12, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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 37LC00132200 NJ
Mental Health Counselor 101YM0800X 37PC00370200 NJ Primary

Addresses

Primary practice location

25 Roman St
Toms River, NJ 08757-3909

Mailing address

25 Roman St
Toms River, NJ 08757-3909
Phone (908) 910-1255

Other names 1

  • Miss Linda Jean Hickey Former 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
37LC00132200NJMDAddiction (Substance Use Disorder) Counselor
37PC00370200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1467697979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROMAN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573909",
            "telephone_number": "908-910-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROMAN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573909",
            "telephone_number": "908-910-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPC, LCADC, NCC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00132200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00370200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HICKEY",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.