Active NPI
Wynne Louise Sherman, LCDC, LPC-I
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1861055444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12281
- Practice address
- 5757 Woodway Dr Ste 110
Houston, TX 77057-1506 - Phone
- (469) 352-6091
- NPI assigned
- Apr 18, 2019
- Last updated
- Apr 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12281 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 81228 | TX |
Addresses
Primary practice location
5757 Woodway Dr Ste 110
Houston, TX 77057-1506
Mailing address
1917 Ridgemore Dr
Houston, TX 77055-1407
Phone (469) 352-6091
Other names 1
- Wynne Louise Kiker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 29, 2024 through May 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12281 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 81228 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1861055444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 RIDGEMORE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770551407",
"telephone_number": "469-352-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WOODWAY DR STE 110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571506",
"telephone_number": "469-352-6091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "WYNNE",
"middle_name": "LOUISE",
"credential": "LCDC, LPC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12281",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "81228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WYNNE",
"last_name": "KIKER",
"middle_name": "LOUISE",
"credential": "LCDC, LPC-I",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
- Ruth Sherman, PHD
- Sara Alexandria Sherman, MD
- Steven I. Sherman, M.D.
- Vadim Sherman, M.D.
- Vicki Sherman, LCSW
- Yolanda Sherman
- Sherri Edwards Counseling & Associates LLC
- Sherri Lynn L Thornhill (Sherri Thornhill, AGNP-C)
- Sherri S. Levin, MD,PA (Sherri S. Levin, M. D. & Associates)
- Sherri Tajudeen (Amazing Grace EMS Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.