Individual provider Active NPI

Wynne Louise Sherman, LCDC, LPC-I

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1861055444
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12281 Issued in TX
Practice address
5757 Woodway Dr Ste 110
Houston, TX 77057-1506
Phone
(469) 352-6091
NPI assigned
Apr 18, 2019
Last updated
Apr 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
12281TXMDAddiction (Substance Use Disorder) Counselor
81228TXMDAudiologist

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

Sources for this page

Verify at the official NPI Registry.