Sheridan Adams, MFT
Individual provider Active NPI Mental Health Counselor · Berkeley, CA
NPI 1649286055 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649286055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MFC25286 (CA)
- Practice address
- 2424 Dwight Way
#7
Berkeley, CA 94704-2365 - Phone
- (510) 845-4990
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 30, 2024 through Jan 30, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC25286 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC25286 | CA | Yes |
Addresses
Primary practice location
2424 Dwight Way
#7
Berkeley, CA 94704-2365
Mailing address
2424 Dwight Way
#7
Berkeley, CA 94704-2365
Phone (510) 845-4990
Other providers in Berkeley, CA
- Thomas C Adame
- Margaret Rose Adams McCormack
- Ariel Lexina Adams
- Elizabeth Adams
- Ryan Adams
- Marcella Adamski
- Adel Khalil D.D.S., M.D. P.C.
- Daniel S Adelman
- Praise O Adesida
- Grazina Adkins
All providers in Berkeley, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.