Active NPI
Sharon Meadors, LGPC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1205597044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12214
- Practice address
- 4128 Hayward Ave Ste G
Baltimore, MD 21215-4340 - Phone
- (410) 241-6317
- Fax
- (301) 426-6181
- NPI assigned
- Jan 4, 2022
- Last updated
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12214 | MD | Primary |
Addresses
Primary practice location
4128 Hayward Ave Ste G
Baltimore, MD 21215-4340
Mailing address
4128 Hayward Ave Ste G
Baltimore, MD 21215-4340
Phone (410) 241-6317
Other practice location 1
4200 Forbes Blvd Ste 104
Lanham, MD 20706-4872
Phone (301) 429-6100
Other practice location 2
519 N Mechanic St Ste W
Cumberland, MD 21502-2133
Phone (410) 241-6317
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12214 | MD | MD | Mental Health Counselor |
Interoperability endpoints
- sharon.meadors.p1@direct.mdwellness.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1205597044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4128 HAYWARD AVE STE G",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154340",
"telephone_number": "410-241-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4128 HAYWARD AVE STE G",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154340",
"telephone_number": "410-241-6317",
"fax_number": "301-426-6181"
}
],
"practiceLocations": [
{
"address_1": "4200 Forbes Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Lanham",
"state": "MD",
"postal_code": "207064872",
"country_code": "US",
"telephone_number": "301-429-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "519 N Mechanic St Ste W",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215022133",
"country_code": "US",
"telephone_number": "410-241-6317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADORS",
"first_name": "SHARON",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "12214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.