Active NPI
Sherry Ellen Mathers, BHCW II / CADC-CAS
- Addiction (Substance Use Disorder) Counselor
- Susanville, CA
National Provider Identifier
1780719096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 555 Hospital LN
Susanville, CA 96130-4808 - Phone
- (530) 251-8108
- NPI assigned
- Feb 23, 2007
- Last updated
- Jun 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
555 Hospital LN
Susanville, CA 96130-4808
Mailing address
PO Box 623
Herlong, CA 96113-0623
Phone (530) 827-2400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1780719096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 623",
"city": "HERLONG",
"state": "CA",
"postal_code": "961130623",
"telephone_number": "530-827-2400",
"fax_number": "530-827-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 HOSPITAL LN",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961304808",
"telephone_number": "530-251-8108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHERS",
"first_name": "SHERRY",
"middle_name": "ELLEN",
"credential": "BHCW II / CADC-CAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.