Sherry A Roskam, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000462 Issued in IL

Practice address

773 W Lincoln Blvd
Suite 101
Freeport, IL 61032-4976

Phone

(815) 990-8210

Fax

(815) 801-4674

NPI assigned

Nov 6, 2006

Last updated

Nov 4, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1871662973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 W LINCOLN BLVD",
            "address_2": "SUITE 101",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326780",
            "telephone_number": "815-990-8210",
            "fax_number": "815-801-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 W LINCOLN BLVD",
            "address_2": "SUITE 101",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324976",
            "telephone_number": "815-990-8210",
            "fax_number": "815-801-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKAM",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Freeport, IL
• Providers in Freeport, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.