Individual provider Active NPI

Sheri A Mullican, LPC

  • Professional Counselor
  • Henderson, TX
National Provider Identifier
1720355639
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16201 Issued in TX
Practice address
1103 Wilson St
Henderson, TX 75652-6077
Phone
(903) 655-0123
Fax
(903) 722-2624
NPI assigned
Nov 20, 2011
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16201 TX
Professional Counselor 101YP2500X 16201 TX Primary

Addresses

Primary practice location

1103 Wilson St
Henderson, TX 75652-6077

Mailing address

210 County Road 2041
Nacogdoches, TX 75965-0466
Phone (936) 554-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250923004397 TX Practitioner - Mental Health Counselor 3971008798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Services, PLLCGroup PAC ID 5799158978, 2 clinicians

Practice addresses (Care Compare)

1103 Wilson St
Henderson, TX 75652-6077
Phone (903) 655-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16201TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services, PLLC Mental Health CurrentSince Aug 19, 2025 Accepting new patients

Locations

1103 Wilson St
Henderson, TX 75652
Phone (903) 655-0123

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": "1321747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1720355639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COUNTY ROAD 2041",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650466",
            "telephone_number": "936-554-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526077",
            "telephone_number": "903-655-0123",
            "fax_number": "903-722-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICAN",
        "first_name": "SHERI",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16201",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.