Sharon Short Shaver, BA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008275 Issued in VA

Practice address

622 Powell Ave E
Big Stone Gap, VA 24219-2348

Phone

(276) 523-0682

Fax

(423) 467-3644

NPI assigned

Jan 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dickenson County Behavioral Health ServicesGroup PAC ID 9436134475, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

Practice roles

Locations

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.

• Dickenson County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clintwood, VA
  • NPI 1649209990
  Medicare reassignment Care Compare group NPD
• Frontier Health

  • Developmentally Disabled Services Day Training Agency
  • Big Stone Gap, VA
  • NPI 1669517561
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1225309693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 POWELL AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192348",
            "telephone_number": "276-523-0682",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "SHARON",
        "middle_name": "SHORT",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbie D Sawyer, O.D.
• Nazrin Dixon Roberson Scott, OTR/L
• Jessica Renae Seals
• Denisha C Shah, DO
• Cynthia Dickson Sharitt, LCSW
• Amanda Shelburne, FNP
• Jessica Kristin Shell, CMT
• Melanie Lynn Skeen, DO
• Deborah Lynn Skorupa
• Crystal G Sluss, LPC

• Professional Counselor in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.