Individual provider Active NPI

Sherri J Cummins

  • Professional Counselor
  • Newark, OH
National Provider Identifier
1689947954
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1000203 Issued in OH
Practice address
370 W Church St
Johnstown
Newark, OH 43055-4239
Phone
(740) 975-4915
Fax
(186) 684-5640
NPI assigned
Feb 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1000203 OH Primary

Addresses

Primary practice location

370 W Church St
Johnstown
Newark, OH 43055-4239

Mailing address

14505 Fancher Rd
Johnstown
Johnstown, OH 43031-8127
Phone (740) 975-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250529002481 OH Practitioner - Mental Health Counselor 6901203108 Practice locations: Westerville, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1000203OHMDProfessional Counselor
E.2102352OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1689947954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 FANCHER RD",
            "address_2": "JOHNSTOWN",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430318127",
            "telephone_number": "740-975-4915",
            "fax_number": "186-684-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W CHURCH ST",
            "address_2": "JOHNSTOWN",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430554239",
            "telephone_number": "740-975-4915",
            "fax_number": "186-684-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "SHERRI",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1000203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.