Sharon L Carpenter, PCC-S, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E2963 Issued in OH

Practice address

23360 Chagrin Blvd
Suite 205
Beachwood, OH 44122-5547

Phone

(440) 460-4579

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1205874419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 S RIVERSIDE DR",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028605",
            "telephone_number": "440-543-5945",
            "fax_number": "440-543-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23360 CHAGRIN BLVD",
            "address_2": "SUITE 205",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225547",
            "telephone_number": "440-460-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "PCC-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Carmon, CNP
• Carolyn Cole Arnold, Psy.D. P.a.
• Kelsey Jo Carpenter, PA-C
• Melissa Lynn Carpenter, CRNA
• Olivia Carpenter, CSFA
• Roland Mejares Carreon, DDS
• Ana Maria Carrillo, PH.D.
• Gary E Carrington, PHD
• Quinton Carrington
• Carson Family Dentistry LLC

• Professional Counselor in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.