Individual provider Active NPI

Cynthia T Sherman, LMSW

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1528388014
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904009289 Issued in VA
Practice address
2025 E Main St Ste 104
Richmond, VA 23223-7072
Phone
(540) 416-2850
Fax
(540) 492-5592
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904009289 VA Primary
Mental Health Counselor 101YM0800X 077921-1 NY

Addresses

Primary practice location

2025 E Main St Ste 104
Richmond, VA 23223-7072

Mailing address

85 Sangers LN
Staunton, VA 24401-6712
Phone (315) 287-2811

Other practice location 1

28 William St
Gouverneur Mental Health
Gouverneur, NY 13642-1405
Phone (315) 287-2811 ext. 12

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170531000425 VA Practitioner - Clinical Social Worker 0749557411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077921-1NYMDMental Health Counselor
0904009289VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lawrence Psychiatric Center Past Accepting new patients
St. Lawrence Psychiatric Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1528388014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SANGERS LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016712",
            "telephone_number": "315-287-2811",
            "fax_number": "315-287-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237072",
            "telephone_number": "540-416-2850",
            "fax_number": "540-492-5592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 William St",
            "address_2": "Gouverneur Mental Health",
            "address_purpose": "LOCATION",
            "city": "Gouverneur",
            "state": "NY",
            "postal_code": "136421405",
            "country_code": "US",
            "telephone_number": "315-287-2811 x12",
            "fax_number": "315-287-4743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "CYNTHIA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904009289",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "077921-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.