SHERITA SHEPHERD (NPI# 1609413111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609413111 |
| Entity Type | Individual |
| Full Name | SHERITA SHEPHERD |
| Practice Address |
600 Highway 425 N Ste B Monticello AR 71655-4020 |
| Mailing Address |
10025 W Markham St Ste 210 Little Rock AR 72205-2178 |
| Practice Telephone | 8702247100 |
| Practice Fax Number | 8702240373 |
| Mailing Telephone | 5016635473 |
| Mailing Fax Number | 5018011816 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A1910144 | AR | Behavioral Health & Social Service Providers |
| Street Address |
600 HIGHWAY 425 N STE B |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255861175 | Casey Smith | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2017-06-13 |
| 1497222806 | Vanessa Simmons | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2018-10-24 |
| 1477029395 | Maggie Ashton Brown | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2018-10-18 |
| 1043715121 | Destyni Branch | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2018-03-29 |
| 1730608779 | Katie Barton | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2017-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861993438 | Darla Ann Crabb | Counselor | 920 W Executive Ct, Monticello, IN 47960-1961 | 2018-02-28 |
| 1194180588 | Shanomia Francis | Counselor | 180 Florida St, Monticello, FL 32344-2217 | 2015-12-29 |
| 1699149872 | Atarri Hall | Counselor | 790 Tung St, Monticello, FL 32344-2830 | 2015-11-25 |
| 1194194076 | Emily Stell | Counselor | 600 Highway 425 N, Suite B, Monticello, AR 71655-4020 | 2015-09-21 |
| 1730510454 | Lisa Roberts | Counselor | 1440 Old Bethel Church Road, Monticello, KY 42633-1210 | 2013-12-05 |
| 1710320882 | Jarryn Robinson | Counselor | 583 W Gaines St, Monticello, AR 71655-4637 | 2013-04-09 |
| 1114270451 | Katherine Sue Wisehart | Counselor | 105 East Lafayette, Monticello, MO 63457 | 2012-10-24 |
| 1225381056 | Samantha Mckinney | Counselor | 571 W Gaines St, Monticello, AR 71655-4637 | 2012-10-17 |
| 1205058476 | Elizabeth Hannah Johnson | Counselor | 818 West First Street, Monticello, IA 52310 | 2007-05-03 |
| 1508974197 | Piatt County Mental Health Center | Counselor | 1921 N Market St, Monticello, IL 61856-8144 | 2006-08-25 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
Please comment or provide details below to improve the information on SHERITA SHEPHERD.
| 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.