Sabriya Laila Sharif-Hanifa, MS, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3175-A Issued in NC

Practice address

1140 Baxter LN Apt 103
Knightdale, NC 27545-6520

Phone

(919) 758-4559

NPI assigned

Apr 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Mind Shine, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1558878082
  NPD Authorized official
• Mind Shine, LLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1871022988
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1114361797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BAXTER LN APT 103",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456520",
            "telephone_number": "919-758-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BAXTER LN APT 103",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456520",
            "telephone_number": "919-758-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIF-HANIFA",
        "first_name": "SABRIYA",
        "middle_name": "LAILA",
        "name_prefix": "Mrs.",
        "credential": "MS, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3175-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Sepulveda, CSAC
• Serenity Home Care Inc
• Serenity Home Care, Inc
• Johnny Roy Sessoms III
• Tyra Marie Seymour
• Shars Auspicious Care LLC
• Calli Shaver, PT
• John M Shepard, PA-C
• Danyel Sherman, MED, BCBA
• Shufford Group Home

• Addiction (Substance Use Disorder) Counselor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.