Active NPI
Sherry Oleck-Nesmith, LMHC
- Mental Health Counselor
- Port Townsend, WA
National Provider Identifier
1811970403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004774
- Practice address
- 1118 Tyler St
Port Townsend, WA 98368-5201 - Phone
- (360) 379-9107
- Fax
- (360) 379-9108
- NPI assigned
- Nov 28, 2005
- 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 | LH00004774 | WA | Primary |
Addresses
Primary practice location
1118 Tyler St
Port Townsend, WA 98368-5201
Mailing address
1118 Tyler St
Port Townsend, WA 98368-5201
Phone (360) 379-9107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125001792 | WA | Practitioner - Mental Health Counselor | 9335593425 | Practice locations: Port Townsend, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1116 Tyler St
Port Townsend, WA 98368-5201
Phone (360) 379-9107
1118 Tyler St
Port Townsend, WA 98368-5201
Phone (360) 379-9107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004774 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1811970403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 TYLER ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983685201",
"telephone_number": "360-379-9107",
"fax_number": "360-379-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 TYLER ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983685201",
"telephone_number": "360-379-9107",
"fax_number": "360-379-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLECK-NESMITH",
"first_name": "SHERRY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00004774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.