SHERRELL FAIRLEY (NPI# 1427479278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427479278 |
| Entity Type | Individual |
| Full Name | SHERRELL FAIRLEY |
| Credential | LMFT |
| Practice Address |
6711 Arlington Ave Ste C Riverside CA 92504 |
| Mailing Address |
5172 Arlington Ave # 4759 Riverside CA 92504-2686 |
| Practice Telephone | 9515671469 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 112429 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 84224 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10755 Apple Valley Rd, Apple Valley, CA 923083684 | (760) 247-9840 | 7602479810 |
| Street Address |
6711 ARLINGTON AVE STE C |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336332311 | Karsha Danielle Harvey | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2007-08-22 |
| 1871129189 | Jimmy Sivongsay | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2020-03-18 |
| 1164056891 | Alize Spencer | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2020-03-03 |
| 1518591247 | Dianna Diaz | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2020-03-03 |
| 1447880794 | Elizabeth Strowbridge | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2020-01-24 |
| 1356971600 | Christina Moon | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2020-01-24 |
| 1114569639 | Leoni Reneaux Cassandra | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2019-10-16 |
| 1497301717 | Madison Fries | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2019-08-13 |
| 1972158053 | Ashleigh Smalley | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2019-08-06 |
| 1326693409 | Ethan Mcguffey | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029799 | Buchanan Family Foundation | Marriage & Family Therapist | 1410 3rd St Ste 12, Riverside, CA 92507-3422 | 2020-10-06 |
| 1801401211 | Sachin Kumar Mathur | Marriage & Family Therapist | 10934 Elkwood Cir, Riverside, CA 92503-5286 | 2020-09-11 |
| 1144839770 | Edgar Diaz Garcia | Marriage & Family Therapist | 5995 Palm Ave Apt I, Riverside, CA 92506-1912 | 2020-07-29 |
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1497381743 | Melissa Cherie Sanders | Marriage & Family Therapist | 5225 Canyon Crest Dr Ste 71-107, Riverside, CA 92507-6301 | 2020-03-19 |
| 1992330088 | Angie Garita | Marriage & Family Therapist | 8939 Christopher Pl, Riverside, CA 92503-3303 | 2020-03-09 |
| 1467086082 | Melanie Joy Harriss | Marriage & Family Therapist | 11801 Pierce St # 222, Riverside, CA 92505-4408 | 2020-02-24 |
| 1487296059 | Catherine Parra Haynes | Marriage & Family Therapist | 4344 Latham St, Riverside, CA 92501-0400 | 2019-10-15 |
| 1255973889 | Kimberly Ann Lloyd | Marriage & Family Therapist | 8625 Orchard Park Dr, Riverside, CA 92508-2984 | 2019-10-15 |
| 1255985248 | County of Riverside Mental Health | Marriage & Family Therapist | 3125 Myers St Bldg 2, Riverside, CA 92503-5527 | 2019-07-29 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.