Active NPI
Cherlisa Jackson, MA, MPH, LPC, CHES
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1609231414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC011598
- Practice address
- 5835 Campbellton Rd SW Ste 102
Atlanta, GA 30331-8014 - Phone
- (470) 440-0058
- NPI assigned
- Dec 21, 2015
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC011598 | GA | Primary |
| Professional Counselor | 101YP2500X | APC004613 | GA |
Addresses
Primary practice location
5835 Campbellton Rd SW Ste 102
Atlanta, GA 30331-8014
Mailing address
PO Box 311733
Atlanta, GA 31131-1733
Phone (470) 440-0058
Other practice location 1
5680 Fulton Industrial Blvd SW
Atlanta, GA 30336-2659
Phone (816) 519-5275
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.sheerllc.com | Direct |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011598 | GA | MD | Mental Health Counselor |
| APC004613 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1609231414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 311733",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311311733",
"telephone_number": "470-440-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 CAMPBELLTON RD SW STE 102",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318014",
"telephone_number": "470-440-0058"
}
],
"practiceLocations": [
{
"address_1": "5680 Fulton Industrial Blvd SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303362659",
"country_code": "US",
"telephone_number": "816-519-5275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "CHERLISA",
"name_prefix": "Miss",
"credential": "MA, MPH, LPC, CHES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2023-11-27",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC011598",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC004613",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.sheerllc.com",
"affiliation": "Y",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5835 Campbellton Rd SW Ste 102",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303318014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.