Active NPI
Sheryl Norris Ketner, LPC
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1639106370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2124
- Practice address
- 1301 Carolina St
Suite 114
Greensboro, NC 27401-1032 - Phone
- (336) 272-1200
- Fax
- (336) 272-1182
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2124 | NC | Primary |
Addresses
Primary practice location
1301 Carolina St
Suite 114
Greensboro, NC 27401-1032
Mailing address
1301 Carolina St
Suite 114
Greensboro, NC 27401-1032
Phone (336) 272-1200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102159 | Medicaid | NC | |
| 1204R | Other | NC | BCBS |
| 0005484079 | Other | NC | AETNA |
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 |
|---|---|---|---|
| 2124 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sante Counseling | Past | Accepting new patients | |
| Famiily Solutions, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1447498035
-
- Multi-Specialty Clinic/Center
- Greensboro, NC
- NPI 1508379421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639106370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CAROLINA ST",
"address_2": "SUITE 114",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011032",
"telephone_number": "336-272-1200",
"fax_number": "336-272-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 CAROLINA ST",
"address_2": "SUITE 114",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011032",
"telephone_number": "336-272-1200",
"fax_number": "336-272-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETNER",
"first_name": "SHERYL",
"middle_name": "NORRIS",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102159",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1204R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005484079",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.