Cheri McCormack Fresh, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-5190 Issued in ID

Practice address

10939 N Brantley Rd
Hayden, ID 83835-8919

Phone

(208) 661-1495

Fax

(208) 545-5222

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cheri McCormack Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Hayden, ID
  • NPI 1831040211
  NPD
• Susan Keeley Counseling Services, PC

  • Mental Health Counselor
  • Hayden, ID
  • NPI 1568768315

  Mental Health

  NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1992085773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10939 N BRANTLEY RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358919",
            "telephone_number": "208-661-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10939 N BRANTLEY RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358919",
            "telephone_number": "208-661-1495",
            "fax_number": "208-545-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK FRESH",
        "first_name": "CHERI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Ashley Marleau, DPT
• Kevin Robert Marsh, D.C.
• Julianne Matteson, PT
• Richard Joseph May, DC
• Raeann L McCart, LMT
• Lauren Kristina McCrea, MS
• Dorothy Teresa McCree, NP
• Anthony M McFadden
• Jennifer C McIntosh, IBCLC
• McKim Method Wellness PLLC

• All providers in Hayden, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.