Active NPI
Sharon G. Fowler, LPC, LPCS, CTS
- Professional Counselor
- Anderson, SC
National Provider Identifier
1073669370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1545
- Practice address
- 4122 Clemson Blvd
Suite 1 C
Anderson, SC 29621-1100 - Phone
- (864) 225-3560
- Fax
- (864) 225-3560
- NPI assigned
- Jan 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1545 | SC | Primary |
| Professional Counselor | 101YP2500X | 3007 | SC |
Addresses
Primary practice location
4122 Clemson Blvd
Suite 1 C
Anderson, SC 29621-1100
Mailing address
4122 Clemson Blvd
Suite 1 C
Anderson, SC 29621-1100
Phone (864) 225-3560
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1545 | SC | MD | Optometrist |
| 3007 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073669370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 CLEMSON BLVD",
"address_2": "SUITE 1 C",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211100",
"telephone_number": "864-225-3560",
"fax_number": "864-225-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 CLEMSON BLVD",
"address_2": "SUITE 1 C",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211100",
"telephone_number": "864-225-3560",
"fax_number": "864-225-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "SHARON",
"middle_name": "G.",
"credential": "LPC, LPCS, CTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "1545",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "3007",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.