Individual provider Active NPI

Megan Share, M.A., L.C.P.C.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1306910062
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006708 Issued in IL
Practice address
4747 W Peterson Ave
Suite 409
Chicago, IL 60646-5712
Phone
(773) 801-8701
Fax
(866) 514-1075
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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 180006708 IL Primary

Addresses

Primary practice location

4747 W Peterson Ave
Suite 409
Chicago, IL 60646-5712

Mailing address

4747 W Peterson Ave
Suite 409
Chicago, IL 60646-5712
Phone (773) 801-8701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180006708ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1306910062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 W PETERSON AVE",
            "address_2": "SUITE 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465712",
            "telephone_number": "773-801-8701",
            "fax_number": "866-514-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 W PETERSON AVE",
            "address_2": "SUITE 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465712",
            "telephone_number": "773-801-8701",
            "fax_number": "866-514-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARE",
        "first_name": "MEGAN",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.