Active NPI
Cheryl M Nelson, LCPC LMHC
- Professional Counselor
- Ellsworth, ME
National Provider Identifier
1487831434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC3256
- Practice address
- 194 Main St
Ellsworth, ME 04605-1939 - Phone
- (207) 326-9322
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC3256 | ME | Primary |
Addresses
Primary practice location
194 Main St
Ellsworth, ME 04605-1939
Mailing address
194 Main St
Ellsworth, ME 04605-1939
Phone (207) 326-9322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 2, 2024 through Oct 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC3256 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1487831434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 MAIN ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051939",
"telephone_number": "207-326-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 MAIN ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051939",
"telephone_number": "207-326-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHERYL",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCPC LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.