Individual provider Active NPI

Sharon Lee Greene, LCSW

  • Mental Health Counselor
  • Grapevine, TX
National Provider Identifier
1205059292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21599 Issued in TX
Practice address
2401 Mustang Dr
Grapevine, TX 76051-8640
Phone
(817) 481-7474
Fax
(817) 416-0900
NPI assigned
Apr 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21599 TX Primary

Addresses

Primary practice location

2401 Mustang Dr
Grapevine, TX 76051-8640

Mailing address

3105 Birch Ave
Grapevine, TX 76051-6576
Phone (817) 283-6071

Other identifiers 1

IdentifierTypeStateIssuer
21599OtherTXLICENSED CLINICAL SOCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213002939 FL Practitioner - Clinical Social Worker 5092075911 Reassigns benefits to 2 organizations
Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast PsychotherapyGroup PAC ID 0941468011, 8 clinicians

Practice addresses (Care Compare)

4167 Clark Rd
Suite 3
Sarasota, FL 34233-2403
Phone (941) 219-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21599TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince Aug 1, 2018 Accepting new patients
Gulf Coast Psychotherapy Mental Health CurrentSince Oct 31, 2025 Accepting new patients
Awesome Minds Psychiatric LLC Past Accepting new patients

Locations

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

4167 Clark Rd
Unit 3
Sarasota, FL 34233
Phone (941) 219-3111

741 S Beneva Rd
Sarasota, FL 34232
Phone (941) 957-0301

4167 Clark Rd
Sarasota, FL 34233
Phone (941) 219-3111

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205059292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 BIRCH AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516576",
            "telephone_number": "817-283-6071",
            "fax_number": "817-416-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MUSTANG DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518640",
            "telephone_number": "817-481-7474",
            "fax_number": "817-416-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SHARON",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "21599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL",
            "identifier": "21599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.