Active NPI
Sherron Chandler
- Counselor
- Lincoln Park, MI
National Provider Identifier
1578397105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451023844
- Practice address
- 26300 Outer Dr
Lincoln Park, MI 48146-2019 - Phone
- (313) 388-4630
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451023844 | MI | Primary |
Addresses
Primary practice location
26300 Outer Dr
Lincoln Park, MI 48146-2019
Mailing address
13411 Pineview Way Apt 304
Southgate, MI 48195-3460
Phone (313) 728-3557
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 |
|---|---|---|---|
| 6451023844 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1578397105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13411 PINEVIEW WAY APT 304",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481953460",
"telephone_number": "313-728-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26300 OUTER DR",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462019",
"telephone_number": "313-388-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "SHERRON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451023844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
- Winnie Cao
- Caremerica at Detroit LLC (Caremerica)
- Lydell Carmichael, LLMSW
- Carolyn's Home Healthcare Services, LLC
- Dachelle Carter, MSW
- Charles M. Gilcher D.C., P.C.
- Robert Louis Cheetham, LMSW
- Child and Young Adult Resource Center (Phyllis Gruber Child and Young Adult Resource Center)
- Abdul Chudhry
- City of Lincoln Park / Lincoln Park Fire Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.