Individual provider Active NPI

Sheri Ramona Stevens, MSSA LISW-S

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1912395476
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I-2102742-SUPV Issued in OH
Practice address
2101 Richmond Rd Ste 1005
Beachwood, OH 44122-1390
Phone
(216) 379-3865
NPI assigned
Jan 6, 2015
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I-2102742-SUPV OH Primary
Mental Health Counselor 101YM0800X S 0023362 OH

Addresses

Primary practice location

2101 Richmond Rd Ste 1005
Beachwood, OH 44122-1390

Mailing address

13940 Cedar Rd.
#248
University HTS, OH 44118-3204
Phone (216) 379-3865

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

LicenseStateTypeSpecialty
I-2102742-SUPVOHMDMental Health Counselor
S 0023362OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1912395476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13940 CEDAR RD.",
            "address_2": "#248",
            "city": "UNIVERSITY HTS",
            "state": "OH",
            "postal_code": "441183204",
            "telephone_number": "216-379-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RICHMOND RD STE 1005",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221390",
            "telephone_number": "216-379-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SHERI",
        "middle_name": "RAMONA",
        "name_prefix": "Mrs.",
        "credential": "MSSA LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I-2102742-SUPV",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S 0023362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.