Individual provider Active NPI

Cheri Wakeham, LMSW

  • Mental Health Counselor
  • Auburn, NY
National Provider Identifier
1972050193
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
097860 Issued in NY
Practice address
128 Grant Ave Ste 5
Auburn, NY 13021-2115
Phone
(315) 294-0736
Fax
(315) 903-7801
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 097860 NY Primary

Addresses

Primary practice location

128 Grant Ave Ste 5
Auburn, NY 13021-2115

Mailing address

128 Grant Ave Ste 5
Auburn, NY 13021-2115
Phone (315) 294-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305002765 NY Practitioner - Clinical Social Worker 4587091467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 Grant Ave
Suite 5
Auburn, NY 13021-2115
Phone (315) 294-0736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097860NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cheri Wakeham Counseling, LLC Mental Health CurrentSince Aug 30, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Locations

128 Grant Ave
Ste 5
Auburn, NY 13021
Phone (315) 294-0736

Interoperability endpoints

  • Direct secure messaging: cheriwakeham@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1972050193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 GRANT AVE STE 5",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212115",
            "telephone_number": "315-294-0736",
            "fax_number": "315-903-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GRANT AVE STE 5",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212115",
            "telephone_number": "315-294-0736",
            "fax_number": "315-903-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEHAM",
        "first_name": "CHERI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "097860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.