Individual provider Active NPI

Sharon Rose Stines, LPPC 6413

  • Professional Counselor
  • La Habra, CA
National Provider Identifier
1023527710
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC6413 Issued in CA
Practice address
271 W. Imperial Hwy, Suite C
La Habra, CA 90631
Phone
(562) 273-0722
Fax
(562) 864-4596
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 157107 CA
Professional Counselor 101YP2500X PCCI3095 CA
Professional Counselor 101YP2500X LPCC6413 CA Primary

Addresses

Primary practice location

271 W. Imperial Hwy, Suite C
La Habra, CA 90631

Mailing address

14181 Telegraph Rd
Whittier, CA 90604-2554
Phone (562) 273-0722

Other identifiers 1

IdentifierTypeStateIssuer
562-706-4251OtherCAMEDI-CAL

Other names 1

  • Sharie Rose Stines Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
157107CAMDAddiction (Substance Use Disorder) Counselor
LPCC6413CAMDProfessional Counselor
PCCI3095CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Counseling and Educational Services Addiction (Substance Use Disorder) Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023527710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14181 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906042554",
            "telephone_number": "562-273-0722",
            "fax_number": "562-864-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 W. IMPERIAL HWY, SUITE C",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-273-0722",
            "fax_number": "562-864-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINES",
        "first_name": "SHARON",
        "middle_name": "ROSE",
        "credential": "LPPC 6413",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "157107",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI3095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC6413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "562-706-4251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARIE",
            "last_name": "STINES",
            "middle_name": "ROSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.