Active NPI
Sherry Dayne Otto, M.ED., LPC
- Mental Health Counselor
- Round Rock, TX
National Provider Identifier
1497378871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 77020
- Practice address
- 1000 Heritage Center Cir Ste 158
Round Rock, TX 78664-4463 - Phone
- (512) 796-6469
- NPI assigned
- May 20, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 77020 | TX | Primary |
Addresses
Primary practice location
1000 Heritage Center Cir Ste 158
Round Rock, TX 78664-4463
Mailing address
4924 N State Highway 45 E
Pflugerville, TX 78660-7500
Phone (512) 796-6469
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77020 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1497378871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4924 N STATE HIGHWAY 45 E",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786607500",
"telephone_number": "512-796-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HERITAGE CENTER CIR STE 158",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644463",
"telephone_number": "512-796-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "SHERRY",
"middle_name": "DAYNE",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "77020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
- Amy Suzanne Ota, LPC
- Michael Thomas Ota, BCBA
- Jana Marlene Ott, CRNA
- Otto Bock Orthopedic Services LLC
- Jeanne Ramsey Otto
- Andrew Shayne Outlaw, MD
- Krystal Outlaw, FNP-C
- Ovations Healthcare Services, Inc. (New Era Home Healthcare Services, Inc.)
- Ovations Healthcare Services, Inc. (New Era HomeCare Solutions Inc)
- Michelle Nix Overman, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.