Active NPI
Sharlene Hamilton, LPC, NCC
- Mental Health Counselor
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701009607
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701009607 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Cardinal Family Counseling, PLLC | Mental Health | Current | 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
- 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.
-
- Mental Health Counselor
- Woodbridge, VA
- NPI 1962094342
Mental Health
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.