Individual provider Active NPI

Stephanie Sherrill, LPC

  • Mental Health Counselor
  • Martinsville, VA
National Provider Identifier
1851643209
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006438 Issued in VA
Practice address
217 E Church St
Martinsville, VA 24112-2807
Phone
(276) 634-8304
Fax
(276) 258-6476
NPI assigned
Oct 10, 2012
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A9353 NC
Mental Health Counselor 101YM0800X 0701006438 VA Primary

Addresses

Primary practice location

217 E Church St
Martinsville, VA 24112-2807

Mailing address

15 Cleveland Ave Ste 11
Martinsville, VA 24112-2926
Phone (276) 634-8304

Other identifiers 2

IdentifierTypeStateIssuer
A9353OtherNCLICENSE NUMBER
0701006438OtherVALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408000122 VA Practitioner - Mental Health Counselor 0042785073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

433 E Commonwealth Blvd
Suite 1
Martinsville, VA 24112-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A9353NCMDMental Health Counselor
0701006438VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Counseling LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

15 Cleveland Ave
Ste 11
Martinsville, VA 24112
Phone (276) 634-8304

217 E Church St
Martinsville, VA 24112
Phone (276) 634-8304

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1851643209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLEVELAND AVE STE 11",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122926",
            "telephone_number": "276-634-8304",
            "fax_number": "276-258-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122807",
            "telephone_number": "276-634-8304",
            "fax_number": "276-258-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9353",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A9353",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0701006438",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.