Active NPI
Sharon Sloan
- Mental Health Counselor
- Eatontown, NJ
National Provider Identifier
1073650065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 44SC05154600
- Practice address
- 615 Hope Rd
BLDG 4B
Eatontown, NJ 07724-1277 - Phone
- (732) 804-1147
- NPI assigned
- Jan 31, 2007
- Last updated
- Apr 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SC05154600 | NJ | Primary |
Addresses
Primary practice location
615 Hope Rd
BLDG 4B
Eatontown, NJ 07724-1277
Mailing address
615 Hope Rd
BLDG 4B
Eatontown, NJ 07724-1277
Phone (732) 337-0602
Other names 1
- Sharon Conwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05154600 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1073650065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 HOPE RD",
"address_2": "BLDG 4B",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241277",
"telephone_number": "732-337-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 HOPE RD",
"address_2": "BLDG 4B",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241277",
"telephone_number": "732-804-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "SHARON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SC05154600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "CONWELL",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.