Active NPI
Emmalee P Sherrod, LCAS-A
- Professional Counselor
- Jamestown, NC
National Provider Identifier
1518327162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A13036
- Practice address
- 3346 Cherrybrook Dr
Jamestown, NC 27282-7782 - Phone
- (336) 383-8604
- NPI assigned
- Feb 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22424 | NC | |
| Professional Counselor | 101YP2500X | A13036 | NC | Primary |
Addresses
Primary practice location
3346 Cherrybrook Dr
Jamestown, NC 27282-7782
Mailing address
3346 Cherrybrook Dr
Jamestown, NC 27282-7782
Phone (336) 383-8604
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 |
|---|---|---|---|
| A13036 | NC | MD | Professional Counselor |
| 22424 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1518327162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3346 CHERRYBROOK DR",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272827782",
"telephone_number": "336-383-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3346 CHERRYBROOK DR",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272827782",
"telephone_number": "336-383-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERROD",
"first_name": "EMMALEE",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "22424",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.