Individual provider Active NPI

Sharon A Desorcy-Marcotte, LPCC

  • Professional Counselor
  • Beavercreek, OH
National Provider Identifier
1215051768
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0000123 Issued in OH
Practice address
1255 N Fairfield Rd
Beavercreek, OH 45432-2668
Phone
(937) 426-5225
Fax
(937) 426-7526
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E-0000123 OH Primary

Addresses

Primary practice location

1255 N Fairfield Rd
Beavercreek, OH 45432-2668

Mailing address

1255 N Fairfield Rd
Beavercreek, OH 45432-2668
Phone (937) 426-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241016001762 OH Practitioner - Mental Health Counselor 5395874424 Practice locations: Beavercreek, OH
I20241226002330 OH Practitioner - Mental Health Counselor 5395874424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1255 N Fairfield Rd
Suite 201
Beavercreek, OH 45432-2651
Phone (937) 426-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E-0000123OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Valley Counseling & Hypnosis Center Professional CurrentSince Sep 24, 2024 Accepting new patients

Locations

1255 N Fairfield Rd
Ste 201
Beavercreek, OH 45432
Phone (937) 254-9210

1255 N Fairfield Rd
Beavercreek, OH 45432
Phone (937) 426-5225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9965/brand/2/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1215051768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N FAIRFIELD RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322668",
            "telephone_number": "937-426-5225",
            "fax_number": "937-426-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N FAIRFIELD RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322668",
            "telephone_number": "937-426-5225",
            "fax_number": "937-426-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESORCY-MARCOTTE",
        "first_name": "SHARON",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.