Individual provider Active NPI

Cherry L Brackens, LMSW

  • Mental Health Counselor
  • Arlington, TX
National Provider Identifier
1952764110
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1112 E Copeland Rd
Suite 310
Arlington, TX 76011-4910
Phone
(817) 522-5052
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1112 E Copeland Rd
Suite 310
Arlington, TX 76011-4910

Mailing address

1112 E Copeland Rd
Suite 310
Arlington, TX 76011-4910
Phone (817) 522-5052

Other names 1

  • Miss Cherry L Dancer Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1952764110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E COPELAND RD",
            "address_2": "SUITE 310",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114910",
            "telephone_number": "817-522-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E COPELAND RD",
            "address_2": "SUITE 310",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114910",
            "telephone_number": "817-522-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKENS",
        "first_name": "CHERRY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRY",
            "last_name": "DANCER",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.