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CHERI MCCORMACK FRESH LCPC
NPI 1992085773
Counselor - Mental Health in Hayden, ID

Active since August 24, 2011PECOS EnrolledAccepts Medicare Assignment
10939 N BRANTLEY RD, HAYDEN, ID 83835(208) 661-1495(208) 545-5222 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2023, Dec 5, 2023 (2 updates tracked since 2023).

About Cheri Mccormack Fresh Lcpc NPPES

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

CHERI MCCORMACK FRESH LCPC (NPI 1992085773) is an individual mental health provider in Hayden, Idaho, licensed in Idaho (LCPC-5190) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1992085773
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHERI MCCORMACK FRESHCredential: LCPC
Location Address10939 N BRANTLEY RDHayden, ID 83835-8919
Mailing Address10939 N Brantley RdHayden, ID 83835-8919 · (208) 661-1495
Phone(208) 661-1495
Fax(208) 545-5222
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 24, 2011
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1992085773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-5190
10939 N BRANTLEY RD, Hayden, ID 83835
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cheri Mccormack Fresh Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335599430
PECOS Enrollment IDI20240102003443
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.

Other Providers at the Same Location NPPES

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

CHERI MCCORMACK COUNSELING SERVICES, LLC
Community/Behavioral Health
10939 N BRANTLEY RD
HAYDEN, ID 83835
Kootenai County (208) 661-1495

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 Cheri Mccormack Fresh's NPI number?

The NPI number for Cheri Mccormack Fresh is 1992085773. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Where is Cheri Mccormack Fresh located?

Cheri Mccormack Fresh practices at 10939 N Brantley Rd, Hayden, ID 83835. The listed phone number is (208) 661-1495.

What is Cheri Mccormack Fresh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cheri Mccormack Fresh enrolled in Medicare?

Yes. Cheri Mccormack Fresh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cheri Mccormack Fresh was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.