SHERRY BRENDALEN (LPC) – Mental Health Counselor, NPI 1518162676

SHERRY BRENDALEN (LPC) is a healthcare provider. based in Pontiac, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 180-006484 (IL). The NPI Number for SHERRY BRENDALEN (LPC) is 1518162676

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SHERRY BRENDALEN (LPC)
NPI
1518162676
Phone
Not provided
Address
PO BOX 768
Enumeration Date
19 June 2007
Last Update Date
11 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
0840641221
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20240110001957
Address ID
IL617045402BL3024XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for SHERRY BRENDALEN (LPC)

  • PO BOX 768

    PONTIAC, IL 617640768

    Phone:

    Type: Mailing

  • 205, West Torrance Avenue, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617642751

    Phone:

    Type: Mailing

  • 310, East Torrance Avenue, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617642748

    Phone: (815) 844-6109

    Fax: (815) 844-3561

    Type: Location

  • 920 W CUSTER AVE

    PONTIAC, IL 617641067

    Phone: (815) 844-6109

    Fax: (815) 844-3561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240110001957IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

Can I use this page to confirm SHERRY BRENDALEN (LPC)'s NPI?
Yes. SHERRY BRENDALEN (LPC) is listed with NPI 1518162676 in the public NPI dataset.
Is SHERRY BRENDALEN (LPC) listed as active for patients and plans?
The listing shows SHERRY BRENDALEN (LPC) as active in the NPI system.
What taxonomy line describes SHERRY BRENDALEN (LPC)?
For research purposes, treat SHERRY BRENDALEN (LPC) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SHERRY BRENDALEN (LPC)?
SHERRY BRENDALEN (LPC)'s geographic hint is Pontiac, Illinois in our summary view.
Why does SHERRY BRENDALEN (LPC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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