Individual provider Active NPI

Sharon S Jeffries, LPCC

  • Mental Health Counselor
  • Ashland, OH
National Provider Identifier
1053536839
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1901196 Issued in OH
Practice address
502 Claremont Ave
Ashland, OH 44805-3010
Phone
(419) 289-1876
Fax
(419) 281-6430
NPI assigned
Apr 16, 2007
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1901196 OH Primary

Addresses

Primary practice location

502 Claremont Ave
Ashland, OH 44805-3010

Mailing address

502 Claremont Ave
Ashland, OH 44805-3010
Phone (419) 289-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240221001294 OH Practitioner - Mental Health Counselor 6901240654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Wellness CenterGroup PAC ID 8921463647, 5 clinicians

Practice addresses (Care Compare)

1638 Eagle Way
Ashland, OH 44805-8924
Phone (419) 903-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1901196OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Wellness Center Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Elevation Counseling Services Mental Health Current Accepting new patients
Cornerstone Counseling of Ashland, LLC Mental Health CurrentSince Nov 1, 2022 Accepting new patients

Locations

1638 Eagle Way
Ashland, OH 44805
Phone (419) 903-0133

502 Claremont Ave
Ashland, OH 44805
Phone (419) 289-1876

398 W Bagley Rd
Ste 216
Berea, OH 44017
Phone (216) 340-0011

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1053536839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CLAREMONT AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053010",
            "telephone_number": "419-289-1876",
            "fax_number": "419-281-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CLAREMONT AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053010",
            "telephone_number": "419-289-1876",
            "fax_number": "419-281-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "SHARON",
        "middle_name": "S",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1901196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.