Sherrie Ann Shivok, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003001A Issued in IN

Practice address

402 Wall St Ste 42
Valparaiso, IN 46383-2572

Phone

(219) 510-8042

Fax

(218) 510-8044

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, PA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life and Trauma Survivor Center LLCGroup PAC ID 7517487382, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Life and Trauma Survivor Center LLC

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1619432119

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Verg Life LLC

  • Clinical Social Worker
  • Knox, IN
  • NPI 1598452070
  NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1851865281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 WALL ST STE 42",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832572",
            "telephone_number": "219-510-8042",
            "fax_number": "218-510-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WALL ST STE 42",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832572",
            "telephone_number": "219-510-8042",
            "fax_number": "218-510-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Park Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196102900",
            "country_code": "US",
            "telephone_number": "219-510-8043",
            "fax_number": "219-510-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVOK",
        "first_name": "SHERRIE",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shifa Clinic PC
• Shifa Clinic, P.C.
• Shifting Sands Therapy LLC
• Tara Shingler
• Tia Shively
• Kristen Shofner, SLP
• Sterling Jerel Shores
• Cheryl D Short, MD, FACOG
• Shults-Lewis Child and Family Services, Inc.
• Bridget K Sibo, LCSW

• Mental Health Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.

Verify at the official NPI Registry.