Individual provider Active NPI

Sharhonda Lynn Ford, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1104313345
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13865 Issued in NC
Practice address
7200 E WT Harris Blvd
Charlotte, NC 28215-7200
Phone
(443) 744-0621
NPI assigned
Apr 13, 2018
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NJDCATEMP-011337 NJ
Mental Health Counselor 101YM0800X 0701009498 VA
Mental Health Counselor 101YM0800X 13865 NC Primary

Addresses

Primary practice location

7200 E WT Harris Blvd
Charlotte, NC 28215-7200

Mailing address

11424 Sweetbriar Ridge Dr
Charlotte, NC 28269-5046
Phone (443) 744-0621

Other practice location 1

13200 Mallard Creek Rd
Charlotte, NC 28262-1018
Phone (443) 744-0621

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
NJDCATEMP-011337NJMDMental Health Counselor
0701009498VAMDMental Health Counselor
13865NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharhonda L. Ford Counseling, Coaching & Consulting Mental Health CurrentSince Jun 28, 2020 Accepting new patients
Beyond the Mask Trauma and Wellness PLLC CurrentSince Jul 4, 2021 Accepting new patients

Locations

7200 E W T Harris Blvd
Charlotte, NC 28215
Phone (443) 744-0621

13200 Mallard Creek Rd
Charlotte, NC 28262
Phone (443) 744-0621

Organizations & group practices 2

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1104313345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 SWEETBRIAR RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695046",
            "telephone_number": "443-744-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E WT HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157200",
            "telephone_number": "443-744-0621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13200 Mallard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621018",
            "country_code": "US",
            "telephone_number": "443-744-0621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "SHARHONDA",
        "middle_name": "LYNN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "NJDCATEMP-011337",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009498",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.