Provider Demographics
NPI:1639051568
Name:NORD, CHERYL (LPCC, PPSC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:NORD
Suffix:
Gender:F
Credentials:LPCC, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 N DUNBAR ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1839
Mailing Address - Country:US
Mailing Address - Phone:714-350-0512
Mailing Address - Fax:
Practice Address - Street 1:8750 DORSETT DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-7149
Practice Address - Country:US
Practice Address - Phone:714-964-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YS0200X
CALPCC-919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool