Individual provider Active NPI

Richard F Sharp, LPCC-S, LICDC

  • Professional Counselor
  • Newark, OH
National Provider Identifier
1306927868
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0002607-SUPV Issued in OH
Practice address
62 E Stevens St
Newark, OH 43055-5969
Phone
(740) 366-7303
Fax
(740) 366-7305
NPI assigned
Oct 18, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.991726 OH
Professional Counselor 101YP2500X E.0002607-SUPV OH Primary

Addresses

Primary practice location

62 E Stevens St
Newark, OH 43055-5969

Mailing address

62 E Stevens St
Newark, OH 43055-5969
Phone (740) 366-7303

Other identifiers 1

IdentifierTypeStateIssuer
9111115MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240304003459 OH Practitioner - Mental Health Counselor 2163867839 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
Group practices
Licking County Alcoholism Prevention ProgramGroup PAC ID 9537455266, 3 clinicians

Practice addresses (Care Compare)

62 E Stevens St
Newark, OH 43055-5969
Phone (740) 366-7303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.991726OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Licking County Alcoholism Prevention Program Addiction (Substance Use Disorder) CurrentSince Jan 16, 2024 Accepting new patients
Licking County Alcoholism Prevention Program PastSince Jan 16, 2024 Accepting new patients

Locations

62 E Stevens St
Newark, OH 43055
Phone (740) 364-7229

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lapp/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1306927868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E STEVENS ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555969",
            "telephone_number": "740-366-7303",
            "fax_number": "740-366-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E STEVENS ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555969",
            "telephone_number": "740-366-7303",
            "fax_number": "740-366-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "RICHARD",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.991726",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0002607-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9111115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.