Individual provider Active NPI

Eric Steven Sharp, LMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1144823956
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
265916 Issued in KY
Practice address
4169 Westport Rd Ste 103
Louisville, KY 40207-2747
Phone
(502) 333-9466
NPI assigned
Nov 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 265916 KY
Marriage & Family Therapist 106H00000X 265916 KY Primary

Addresses

Primary practice location

4169 Westport Rd Ste 103
Louisville, KY 40207-2747

Mailing address

4169 Westport Rd Ste 103
Louisville, KY 40207-2747
Phone (502) 333-9466

Other identifiers 1

IdentifierTypeStateIssuer
7100717010MedicaidKY

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
265916KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Mental Health Services LLC CurrentSince Nov 22, 2020 Accepting new patients

Locations

1017 Baxter Ave
Ste 8
Louisville, KY 40204

4169 Westport Rd
Ste 103
Louisville, KY 40207
Phone (502) 333-9466

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1144823956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 WESTPORT RD STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072747",
            "telephone_number": "502-333-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 WESTPORT RD STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072747",
            "telephone_number": "502-333-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "265916",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "265916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100717010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.