Sherry Shaefer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3333 Covington CT
Bryan, TX 77808-1412

Phone

(765) 714-8476

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Resilience Center of Houston, LLC

  dba The Resilience Center of Houston

  • Marriage & Family Therapist
  • Cypress, TX
  • NPI 1821475039

  Mental Health

  Medicare reassignment Care Compare group NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Beckman Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, SC
  • NPI 1124135009
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1992153951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 COVINGTON CT",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778081412",
            "telephone_number": "765-714-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 COVINGTON CT",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778081412",
            "telephone_number": "765-714-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAEFER",
        "first_name": "SHERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Kristina Servantes
• Sarah Katheryn Severson, D.O.
• Sherry Sewrathan-Ghosh, D.O
• Tessa Sexton, M.S., CCC-SLP
• Rabiah Lynn Shabazz-Houston, LPC
• Kristin Marie Shaffer, MS, RD, LD
• Kimberly Shearer, M.A., LPC
• Rebecca Roshaye Shell
• Shelly K. Broline MD PA (Diagnostic & Therapeutic Molecular Imaging)
• Shelly K. Broline, M.D., P.a.

• Mental Health Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.