Individual provider Active NPI

Sharon Gayle, LPC

  • Mental Health Counselor
  • Carrollton, TX
National Provider Identifier
1053744797
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71239 Issued in TX
Practice address
2835 Keller Springs Rd Apt 107
Carrollton, TX 75006-4897
Phone
(972) 809-8272
Fax
(888) 920-1225
NPI assigned
Aug 16, 2013
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12818 TX
Mental Health Counselor 101YM0800X 71239 TX Primary

Addresses

Primary practice location

2835 Keller Springs Rd Apt 107
Carrollton, TX 75006-4897

Mailing address

2835 Keller Springs Rd Apt 107
Carrollton, TX 75006-4897
Phone (972) 809-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240219001809 TX Practitioner - Mental Health Counselor 8224472162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12818TXMDAddiction (Substance Use Disorder) Counselor
71239TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Gayle Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Sep 29, 2024 Accepting new patients
Sharon Gayle Counseling Addiction (Substance Use Disorder) Current Accepting new patients
Sondermind Provider Network LLC CurrentSince Feb 7, 2024 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1053744797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 KELLER SPRINGS RD APT 107",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064897",
            "telephone_number": "972-809-8272",
            "fax_number": "888-920-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 KELLER SPRINGS RD APT 107",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064897",
            "telephone_number": "972-809-8272",
            "fax_number": "888-920-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "SHARON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12818",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.