Sharonda Patrice Ravenell, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16896 Issued in NC

Practice address

380 Copperfield Blvd NE
Concord, NC 28025-2402

Phone

(843) 200-7515

NPI assigned

Aug 29, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Charlotte-Mecklenburg Hospital AuthorityGroup PAC ID 2961310685, 594 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (3 of 4)

Locations

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Charlotte-Mecklenburg Hospital Authority

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC

  Medicare reassignment Care Compare group NPD
• The Charlotte-Mecklenburg Hospital Authority

  • General Acute Care Hospital
  • Monroe, NC
  • NPI 1396790325
  Care Compare group
• The Charlotte-Mecklenburg Hospital Authority

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1417432840
  Care Compare group
• The Charlotte-Mecklenburg Hospital Authority

  • Pediatrics Physician
  • Concord, NC
  • NPI 1588091904
  Care Compare group
• The Charlotte-Mecklenburg Hospital Authority

  • Psychiatric Hospital Unit
  • Albemarle, NC
  • NPI 1982079802
  Care Compare group
• The Charlotte-Mecklenburg Hospital Authority

  • Internal Medicine Physician
  • Rock Hill, SC
  • NPI 1306269691
  Care Compare group
• The Charlotte-Mecklenburg Hospital Authority

  • Child & Adolescent Psychiatry Physician
  • Concord, NC
  • NPI 1063849420
  NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Rehabilitation Hospital Unit
  • Charlotte, NC
  • NPI 1962987131
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1003583741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "980-533-0856",
            "fax_number": "844-894-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252402",
            "telephone_number": "843-200-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Ayrsley Town Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282734068",
            "country_code": "US",
            "telephone_number": "980-533-0856",
            "fax_number": "844-894-6961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9931 Birch Knoll Ct",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282134075",
            "country_code": "US",
            "telephone_number": "843-200-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVENELL",
        "first_name": "SHARONDA",
        "middle_name": "PATRICE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-29",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Carl Rankin, LPC
• Santosh R. Rao, MD
• Rasti Counseling Services, PLLC
• April Ratliff, LPCA, NCC
• Ali Jason Ravanbakht, MD
• Adam Ravin, MD
• Noah Ray
• Amy Readling, CRNA
• Realon Counseling PC
• Kimberly Victoria Barnes Reames, MD

• All providers in Concord, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.