Individual provider Active NPI

Sherry Sheffield

  • Counselor
  • Dallas, TX
National Provider Identifier
1831647312
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
75588 Issued in TX
Practice address
4101 McEwen Rd
Dallas, TX 75244-5112
Phone
(832) 739-5800
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 75588 TX Primary

Addresses

Primary practice location

4101 McEwen Rd
Dallas, TX 75244-5112

Mailing address

4101 McEwen Rd
Dallas, TX 75244-5112
Phone (832) 739-5800

Other practice location 1

125 S 5th St
Reading, PA 19602-1662
Phone (610) 685-2188

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
75588TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Jude'S Ranch for Children PastSince Feb 7, 2021 Accepting new patients
Pennsylvania Counseling Services Inc. Counselor Past Accepting new patients

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1831647312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445112",
            "telephone_number": "832-739-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445112",
            "telephone_number": "832-739-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196021662",
            "country_code": "US",
            "telephone_number": "610-685-2188",
            "fax_number": "610-685-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "SHERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "75588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.