Individual provider Active NPI

Sherry Lindsley, M.S., LPC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Wake Forest, NC
National Provider Identifier
1770665044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS 103, LPC 2191 Issued in NC
Practice address
308 Watchet PL
Wake Forest, NC 27587-5141
Phone
(919) 556-0225
Fax
(919) 556-7802
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS 103, LPC 2191 NC Primary

Addresses

Primary practice location

308 Watchet PL
Wake Forest, NC 27587-5141

Mailing address

308 Watchet PL
Wake Forest, NC 27587-5141
Phone (919) 556-0225

Other identifiers 5

IdentifierTypeStateIssuer
103584167-01OtherUNITED BEHAVIORAL HEALTH
429635OtherCIGNA INSURANCE
129XNOtherNCBCBS INSURANCE
229613OtherMAMSI INSURANCE
184516OtherMED COST INSURANCE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS 103, LPC 2191NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770665044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WATCHET PL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875141",
            "telephone_number": "919-556-0225",
            "fax_number": "919-556-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WATCHET PL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875141",
            "telephone_number": "919-556-0225",
            "fax_number": "919-556-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSLEY",
        "first_name": "SHERRY",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 103, LPC 2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "103584167-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "429635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "129XN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI INSURANCE",
            "identifier": "229613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED COST INSURANCE",
            "identifier": "184516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.