Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cheri McCormack Fresh, LCPC

Individual provider Mental Health Counselor · NPI 1992085773

Cheri McCormack Fresh, LCPC is a Mental Health Counselor in Hayden, Idaho. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2011
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

10939 N Brantley Rd
Hayden, ID 83835-8919
Phone: (208) 661-1495
Fax: (208) 545-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-5190 (ID)

Record details

NPI number1992085773
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedAugust 24, 2011
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address10939 N Brantley Rd, Hayden, ID 83835-8919

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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