Individual provider Active NPI

Gretchen Sherrill, LPC, LMHC

  • Counselor
  • Virginia Beach, VA
National Provider Identifier
1679950091
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701015511 Issued in VA
Practice address
5301 Providence Rd Ste 20
Virginia Beach, VA 23464-4128
Phone
(757) 347-8840
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701015511 VA Primary
Mental Health Counselor 101YM0800X MH27053 FL

Addresses

Primary practice location

5301 Providence Rd Ste 20
Virginia Beach, VA 23464-4128

Mailing address

1737 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32117-5533
Phone (239) 690-6906

Other practice location 1

1737 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32117-5533
Phone (239) 690-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319002695 FL Practitioner - Mental Health Counselor 7012491822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 Metro Pkwy
Fort Myers, FL 33916-7952

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015511VAMDCounselor
MH27053FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Christian & Missionary Alliance Foundation Inc CurrentSince Mar 12, 2026 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Mar 12, 2026 Accepting new patients
Lisa Duez LCSW LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

1737 N Clyde Morris Blvd
Ste 300
Daytona Beach, FL 32117
Phone (386) 262-1627

5301 Providence Rd
Ste 20
Virginia Beach, VA 23464
Phone (757) 347-8840

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1679950091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 N CLYDE MORRIS BLVD STE 300",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175533",
            "telephone_number": "239-690-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 PROVIDENCE RD STE 20",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644128",
            "telephone_number": "757-347-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1737 N Clyde Morris Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321175533",
            "country_code": "US",
            "telephone_number": "239-690-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "GRETCHEN",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701015511",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.