Individual provider Active NPI

Sharon Wynn

  • Mental Health Counselor
  • Lawrenceville, VA
National Provider Identifier
1063133270
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0734006382 Issued in VA
Practice address
102 E Hicks St Ste 105
Lawrenceville, VA 23868-1830
Phone
(434) 313-9689
Fax
(804) 373-8118
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 0734006382 VA Primary

Addresses

Primary practice location

102 E Hicks St Ste 105
Lawrenceville, VA 23868-1830

Mailing address

102 E Hicks St Ste 105
Lawrenceville, VA 23868-1830
Phone (434) 313-9689

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
0734006382VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Solutionz LLC Mental Health CurrentSince Sep 11, 2022 Accepting new patients

Locations

102 E Hicks St
Ste 105
Lawrenceville, VA 23868
Phone (434) 313-9689

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1063133270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E HICKS ST STE 105",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681830",
            "telephone_number": "434-313-9689",
            "fax_number": "804-373-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HICKS ST STE 105",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681830",
            "telephone_number": "434-313-9689",
            "fax_number": "804-373-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0734006382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.