NPIMap

Organization Active NPI

Sycamore Counseling Associates, LLC

  • Clinical Psychologist
  • Blue Ash, OH
National Provider Identifier
1053830455
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6029 Issued in OH
Legal business name
SYCAMORE COUNSELING ASSOCIATES, LLC
Practice address
10979 Reed Hartman Hwy Ste 331C
Blue Ash, OH 45242-2825
Phone
(513) 903-7303
Fax
(513) 891-1065
NPI assigned
Sep 17, 2017
Organization subpart
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

Authorized official

Name
Dr. Sharon A Sowders, EDDNPI 1437204310
Title
Licensed Psychologist
Phone
(513) 903-7303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 913142 OH
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E2332 OH
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6029 OH Primary

Addresses

Primary practice location

10979 Reed Hartman Hwy Ste 331C
Blue Ash, OH 45242-2825

Mailing address

10979 Reed Hartman Hwy Ste 331C
Blue Ash, OH 45242-2825
Phone (513) 903-7303

National Provider Directory

National Provider Directory

Locations

10979 Reed Hartman Hwy
Ste 331C
Blue Ash, OH 45242
Phone (513) 903-7303

10979 Reed Hartman Hwy
Ste 138B
Blue Ash, OH 45242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053830455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY STE 331C",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422825",
            "telephone_number": "513-903-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY STE 331C",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422825",
            "telephone_number": "513-903-7303",
            "fax_number": "513-891-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOWDERS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "513-903-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "913142",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2332",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

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.