Active NPI
Sharon E Stark, LPC
- Mental Health Counselor
- Southampton, PA
National Provider Identifier
1114042389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC005034
- Practice address
- 504 Lakeside Park
Lakeside Office Park
Southampton, PA 18966-4078 - Phone
- (215) 354-0777
- NPI assigned
- Mar 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC005034 | PA | Primary |
Addresses
Primary practice location
504 Lakeside Park
Lakeside Office Park
Southampton, PA 18966-4078
Mailing address
504 Lakeside Park
Lakeside Office Park
Southampton, PA 18966-4078
Phone (215) 354-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 6, 2024 through Nov 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005034 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1114042389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 LAKESIDE PARK",
"address_2": "LAKESIDE OFFICE PARK",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664078",
"telephone_number": "215-354-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 LAKESIDE PARK",
"address_2": "LAKESIDE OFFICE PARK",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664078",
"telephone_number": "215-354-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "SHARON",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC005034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.