Individual provider Active NPI

Susan Sherrick, LPC

  • Counselor
  • Stratford, CT
National Provider Identifier
1740685353
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
002123 Issued in CT
Practice address
346 Lordship Rd
Stratford, CT 06615-7525
Phone
(203) 257-9736
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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
002123CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Sherrick Counseling, LLC Current Accepting new patients
Sherrick Counseling Services CurrentSince Sep 23, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 002123 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

346 Lordship Rd
Stratford, CT 06615-7525

Mailing address

346 Lordship Rd
Stratford, CT 06615-7525
Phone (203) 257-9736

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2014.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1740685353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 LORDSHIP RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157525",
            "telephone_number": "203-257-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 LORDSHIP RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157525",
            "telephone_number": "203-257-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRICK",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "002123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.