Sheri Lorena Brady

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1265838023 Issued in CA

Practice address

309 E. Mt. View Suite 100
Barstow, CA 92311

Phone

(760) 256-7279

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• LSS Community Care Center

  • Community/Behavioral Health Agency
  • Barstow, CA
  • NPI 1265838023
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1528552437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W BUENA VISTA ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112614",
            "telephone_number": "760-718-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E. MT. VIEW SUITE 100",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "760-256-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SHERI",
        "middle_name": "LORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "1265838023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Bohanon
• Yanique Bonner
• Edna Faye Booker, LPC, LISAC
• Tammy Booker
• Kenneth Bracken, O.D.
• Ana Bridges
• Ariel Bridges
• Alicia Rachelle Brown
• Carl Leon Brown Jr., PHYSICIAN ASSISTANT
• Eric Brown

• Mental Health Counselor in Barstow, CA
• Providers in Barstow, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.