Active NPI
Sherry Macaluso, LPC, LPES
- Professional Counselor
- Blythewood, SC
National Provider Identifier
1760849459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2537
- Practice address
- 2008 Old Birch Drive
Blythewood, SC 29016 - Phone
- (803) 735-1497
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2537 | SC | Primary |
| Counseling Psychologist | 103TC1900X | 3067 | SC |
Addresses
Primary practice location
2008 Old Birch Drive
Blythewood, SC 29016
Mailing address
2008 Old Birch Drive
Blythewood, SC 29016
Phone (803) 735-1497
Other names 1
- Mrs. Sherry Wildeboer Macaluso
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3067 | SC | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1760849459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 OLD BIRCH DRIVE",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "29016",
"telephone_number": "803-735-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 OLD BIRCH DRIVE",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "29016",
"telephone_number": "803-735-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALUSO",
"first_name": "SHERRY",
"name_prefix": "Mrs.",
"credential": "LPC, LPES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "2537",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "SC",
"license": "3067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "MACALUSO",
"middle_name": "WILDEBOER",
"prefix": "MRS.",
"credential": "LPC, LPES",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.