Individual provider Active NPI

Sharon L. Elam, M.F.T.

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1194756098
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC32741 Issued in CA
Practice address
210 S Palisade Dr
Suite 204
Santa Maria, CA 93454-8901
Phone
(805) 925-3922
Fax
(805) 925-8843
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC32741 CA Primary

Addresses

Primary practice location

210 S Palisade Dr
Suite 204
Santa Maria, CA 93454-8901

Mailing address

210 S Palisade Dr
Suite 204
Santa Maria, CA 93454-8901
Phone (805) 925-3922

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
MFC32741CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194756098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR",
            "address_2": "SUITE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548901",
            "telephone_number": "805-925-3922",
            "fax_number": "805-925-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR",
            "address_2": "SUITE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548901",
            "telephone_number": "805-925-3922",
            "fax_number": "805-925-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "SHARON",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC32741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.