Individual provider Active NPI

Sharlene Hamilton, LPC, NCC

  • Mental Health Counselor
  • Woodbridge, VA
National Provider Identifier
1215545868
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701009607 Issued in VA
Practice address
12872 Harbor Dr
Woodbridge, VA 22192-2921
Phone
(571) 989-2198
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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 0701009607 VA Primary

Addresses

Primary practice location

12872 Harbor Dr
Woodbridge, VA 22192-2921

Mailing address

14111 Baneberry Cir
Manassas, VA 20112-8859
Phone (703) 975-4186

Other practice location 1

12584 Darby Brook Ct
Woodbridge, VA 22192-2485
Phone (703) 975-4186

Other practice location 2

19519 Jefferson Davis Highway
Ruther Glen, VA 22546
Phone (571) 989-2198

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cardinalfamilycounseling.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701009607VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Cardinal Family Counseling, PLLC Mental Health CurrentSince Feb 1, 2021 Accepting new patients

Locations

20047 US Route 1 Hwy
Ruther Glen, VA 22546

12872 Harbor Dr
Woodbridge, VA 22192
Phone (540) 440-5938

Interoperability endpoints

  • Direct secure messaging: sharlenehamilton@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1215545868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 BANEBERRY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128859",
            "telephone_number": "703-975-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12872 HARBOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922921",
            "telephone_number": "571-989-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12584 Darby Brook Ct",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922485",
            "country_code": "US",
            "telephone_number": "703-975-4186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19519 Jefferson Davis Highway",
            "address_purpose": "LOCATION",
            "city": "Ruther Glen",
            "state": "VA",
            "postal_code": "22546",
            "country_code": "US",
            "telephone_number": "571-989-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHARLENE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cardinalfamilycounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "message",
            "address_1": "12872 Harbor Dr",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.