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KEVIN CHERRY JR. LPC
NPI 1619367653
Counselor - Professional in Lone Tree, CO

Active since January 29, 2015PECOS Enrolled
9220 TEDDY LN STE 2000A, LONE TREE, CO 80124(720) 295-7305(720) 770-7266 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin Cherry Jr. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN CHERRY JR. LPC (NPI 1619367653) is an individual professional provider in Lone Tree, Colorado, licensed in Colorado (0012034) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Castle Rock.

NPPES Registry Identity

NPI1619367653
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN CHERRY JR.Credential: LPC
Location Address9220 TEDDY LN STE 2000ALone Tree, CO 80124-6740
Mailing Address9220 Teddy Ln Ste 2000aLone Tree, CO 80124-6740 · (720) 295-7304 · Fax (720) 770-7266
Phone(720) 295-7305
Fax(720) 770-7266
Sole ProprietorYes
Enumeration DateJanuary 29, 2015
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1619367653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 0012034
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0000812 (CO)
9220 TEDDY LN STE 2000A, Lone Tree, CO 80124
Open in Google Maps ↗

Secondary Practice Location 1

Location 14386 Trail Boss DrCastle Rock, CO 80104-7512 · Phone (720) 295-7304 · Fax (720) 770-7266

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Cherry Jr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Cherry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherry And Cherry Counseling LLC
Same address
Mental Health (Including Community Mental Health Center)
9220 TEDDY LN STE 2000A
Lone Tree, CO 80124
  • Reassigned Medicare billing, Colorado enrollment
  • 2 clinicians in this Medicare group
NPI 1497225783 (720) 295-7304

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NATALIE CHERRY LPC
Counselor (Professional)
9220 TEDDY LN STE 2000A
LONE TREE, CO 80124
Douglas County (720) 295-7304
CHERRY AND CHERRY COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9220 TEDDY LN STE 2000A
LONE TREE, CO 80124
Douglas County (720) 295-7304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Cherry's NPI number?

The NPI number for Kevin Cherry is 1619367653. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Where is Kevin Cherry located?

Kevin Cherry practices at 9220 Teddy Ln Ste 2000A, Lone Tree, CO 80124. The listed phone number is (720) 295-7305.

What is Kevin Cherry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kevin Cherry enrolled in Medicare?

Yes. Kevin Cherry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Cherry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Cherry reassigns Medicare benefits to Cherry And Cherry Counseling LLC (Lone Tree, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Cherry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Cherry was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.