Individual provider Active NPI

Sherry Lynn Mellott, AMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1780338186
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130991 Issued in CA
Practice address
1845 Chicago Ave Ste B
Riverside, CA 92507-2366
Phone
(951) 465-3664
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 130991 CA Primary

Addresses

Primary practice location

1845 Chicago Ave Ste B
Riverside, CA 92507-2366

Mailing address

1845 Chicago Ave Ste B
Riverside, CA 92507-2366
Phone (951) 465-3664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smellott@renewing-hope.org RENEWING HOPE FAMILY COUNSELING CENTER, INC

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
130991CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewing Hope Strategies Multi-Specialty CurrentSince Jun 4, 2023 Accepting new patients
Renewing Hope Family Counseling Center, Inc Marriage & Family Therapist PastSince Feb 13, 2022 Accepting new patients

Locations

1845 Chicago Ave
Ste B
Riverside, CA 92507
Phone (514) 653-6649

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.

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1780338186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CHICAGO AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072366",
            "telephone_number": "951-465-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHICAGO AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072366",
            "telephone_number": "951-465-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smellott@renewing-hope.org",
            "affiliation": "Y",
            "affiliationName": "RENEWING HOPE FAMILY COUNSELING CENTER, INC",
            "address_1": "1845 Chicago Ave Ste B",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925072366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.