Active NPI
Kimberly S Sharpe, M.A., L.A.D.C.
- Counselor
- Danbury, CT
National Provider Identifier
1184631590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00290
- Practice address
- 72 North St Ste 202
Danbury, CT 06810-5653 - Phone
- (203) 770-7269
- Fax
- (203) 426-5704
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00290 | CT | Primary |
Addresses
Primary practice location
72 North St Ste 202
Danbury, CT 06810-5653
Mailing address
169171 Lakeview Terrace
Sandy Hook, CT 06482
Phone (203) 426-5704
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00290 | Other | CT | LICENSED ALCOHOL AND DRUG |
| 300000290CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00290 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184631590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169171 LAKEVIEW TERRACE",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "06482",
"telephone_number": "203-426-5704",
"fax_number": "203-426-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 NORTH ST STE 202",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105653",
"telephone_number": "203-770-7269",
"fax_number": "203-426-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARPE",
"first_name": "KIMBERLY",
"middle_name": "S",
"name_prefix": "Miss",
"credential": "M.A., L.A.D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "00290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED ALCOHOL AND DRUG",
"identifier": "00290",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "300000290CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
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.