Individual provider Active NPI

Sherrie-Ann Hodge Kerr

  • Counselor
  • Stoughton, MA
National Provider Identifier
1972837342
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
294 Pleasant St Ste 102
Stoughton, MA 02072-2571
Phone
(508) 443-1305
Fax
(888) 315-9980
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MA Primary

Addresses

Primary practice location

294 Pleasant St Ste 102
Stoughton, MA 02072-2571

Mailing address

146 Alabama St
Mattapan, MA 02126-1304
Phone (617) 378-5355

Other practice location 1

146 Alabama St
Mattapan, MA 02126-1304
Phone (617) 378-5355

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Into Wellness LLC CurrentSince Nov 17, 2019 Accepting new patients

Locations

294 Pleasant St
Ste 102
Stoughton, MA 02072
Phone (508) 443-1305

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.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1972837342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ALABAMA ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021261304",
            "telephone_number": "617-378-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 PLEASANT ST STE 102",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722571",
            "telephone_number": "508-443-1305",
            "fax_number": "888-315-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Alabama St",
            "address_purpose": "LOCATION",
            "city": "Mattapan",
            "state": "MA",
            "postal_code": "021261304",
            "country_code": "US",
            "telephone_number": "617-378-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE KERR",
        "first_name": "SHERRIE-ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.