Active NPI
Donald Gilbert Cherms Sr., PH.D
- Counseling Psychologist
- Newnan, GA
National Provider Identifier
1568644615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 3025 Highway 154
Newnan, GA 30265-6121 - Phone
- (470) 955-6171
- NPI assigned
- Nov 30, 2007
- Last updated
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 104571-CBCCDC | CA | |
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | C0911091703 | CA | |
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
3025 Highway 154
Newnan, GA 30265-6121
Mailing address
19 Rayner Dr
Newnan, GA 30265-1984
Phone (470) 955-6171
Other practice location 1
110 Newnan Lakes Blvd
Newnan, GA 30263-5770
Phone (470) 955-6171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104571 | Other | CA | CALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS |
| 23783 | Other | GA | LPCA |
Other names 1
- Dr. Donald Gilbert Cherms Sr.
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104571-CBCCDC | CA | MD | Addiction (Substance Use Disorder) Counselor |
| C0911091703 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1568644615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 RAYNER DR",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651984",
"telephone_number": "470-955-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HIGHWAY 154",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302656121",
"telephone_number": "470-955-6171"
}
],
"practiceLocations": [
{
"address_1": "110 Newnan Lakes Blvd",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302635770",
"country_code": "US",
"telephone_number": "470-955-6171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERMS",
"first_name": "DONALD",
"middle_name": "GILBERT",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "104571-CBCCDC",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "C0911091703",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS",
"identifier": "104571",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPCA",
"identifier": "23783",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONALD",
"last_name": "CHERMS",
"middle_name": "GILBERT",
"prefix": "DR.",
"suffix": "SR.",
"credential": "PH.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.