Active NPI
Melanie Jerez-Sherrill
- Mental Health Counselor
- Marietta, GA
National Provider Identifier
1811502362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC007316
- Practice address
- 3225 Shallowford Rd Ste 320
Marietta, GA 30062-1299 - Phone
- (678) 373-9176
- NPI assigned
- Sep 11, 2020
- Last updated
- Sep 11, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC007316 | GA | Primary |
Addresses
Primary practice location
3225 Shallowford Rd Ste 320
Marietta, GA 30062-1299
Mailing address
3225 Shallowford Rd Ste 320
Marietta, GA 30062-1299
Phone (678) 373-9176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 1, 2024 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC007316 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1811502362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 SHALLOWFORD RD STE 320",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300621299",
"telephone_number": "678-373-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 SHALLOWFORD RD STE 320",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300621299",
"telephone_number": "678-373-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEREZ-SHERRILL",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC007316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- Daronne Jenkins, DPT
- Michelle R. Jenkins, MS, APRN
- Jennifer H Wohlers DDS PC (Wohlers Family Dentistry)
- Wenqiu Jennings, FNP
- Diane Clary Jensen, MD
- Jerry E Nutt DDS, PC
- Jerry I. Hochman, Chirorpactor PC (Americare chiropractic)
- Jeffrey Glenn Jeruss, O.D.
- Michelle Theresa Jesse, PH.D.
- Lorena Jesus, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.