Active NPI
Sarah Sherman
- Mental Health Counselor
- Alva, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LADC 863
- Practice address
- 604 Choctaw St
Alva, OK 73717-1626 - Phone
- (580) 327-1112
- Fax
- (580) 327-3067
- NPI assigned
- May 4, 2011
- Last updated
- May 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LADC 863 | OK | Primary |
Addresses
Primary practice location
604 Choctaw St
Alva, OK 73717-1626
Mailing address
1222 10TH St
Suite 211
Woodward, OK 73801-3156
Phone (580) 327-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LADC 863 | OK | MD | Mental Health Counselor |
| 863 | OK | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients |
Locations
604 Choctaw St
Alva, OK 73717
Phone (580) 327-1112
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
1222 10th St
Ste 211
Woodward, OK 73801
Phone (580) 256-8615
Organizations & group practices 4
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.
-
dba Central Oklahoma Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
dba Northwest Center for Behavioral Health
- Psychiatric Hospital
- Fort Supply, OK
- NPI 1922171701
-
- Medical Specialty Clinic/Center
- Woodward, OK
- NPI 1750456588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1902198310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 10TH ST",
"address_2": "SUITE 211",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738013156",
"telephone_number": "580-327-1112",
"fax_number": "580-327-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 CHOCTAW ST",
"city": "ALVA",
"state": "OK",
"postal_code": "737171626",
"telephone_number": "580-327-1112",
"fax_number": "580-327-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "LADC 863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alva, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.