Active NPI
Sherry A Poole, LPC
- Mental Health Counselor
- Stafford, TX
National Provider Identifier
1912106295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 62265
- Practice address
- 11104 W Airport Blvd
Suite 136
Stafford, TX 77477-3035 - Phone
- (832) 640-9223
- Fax
- (281) 495-4445
- NPI assigned
- Jul 16, 2007
- 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 | 62265 | TX | Primary |
Addresses
Primary practice location
11104 W Airport Blvd
Suite 136
Stafford, TX 77477-3035
Mailing address
14164 Misty Meadow LN
Houston, TX 77079-3179
Phone (832) 640-9223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62265 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Emotional Wellness | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Houston, TX
- NPI 1437234473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1912106295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14164 MISTY MEADOW LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770793179",
"telephone_number": "832-640-9223",
"fax_number": "281-495-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 W AIRPORT BLVD",
"address_2": "SUITE 136",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773035",
"telephone_number": "832-640-9223",
"fax_number": "281-495-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "SHERRY",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "62265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.