Individual provider Active NPI

Sherdene Andrea Simpson, P.C.C.,M.F.T

  • Professional Counselor
  • Strongsville, OH
National Provider Identifier
1699108217
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0600625 Issued in OH
Practice address
10900 Pearl Rd
Suite C-1
Strongsville, OH 44136-3349
Phone
(440) 268-8422
NPI assigned
Aug 19, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0600625 OH Primary
Marriage & Family Therapist 106H00000X M1300016 OH

Addresses

Primary practice location

10900 Pearl Rd
Suite C-1
Strongsville, OH 44136-3349

Mailing address

10900 Pearl Rd
Suite C-1
Strongsville, OH 44136-3349
Phone (440) 268-8422

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

LicenseStateTypeSpecialty
E0600625OHMDProfessional Counselor
M1300016OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raman Baishnab DO Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1699108217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 PEARL RD",
            "address_2": "SUITE C-1",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363349",
            "telephone_number": "440-268-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 PEARL RD",
            "address_2": "SUITE C-1",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363349",
            "telephone_number": "440-268-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SHERDENE",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "P.C.C.,M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0600625",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M1300016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.