Individual provider Active NPI

Susan Renee Sharp, M.ED., LPC

  • Professional Counselor
  • Spring, TX
National Provider Identifier
1356580583
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10817 Issued in AZ
Practice address
8122 Spring Cypress Rd
Spring, TX 77379-3123
Phone
(713) 505-0117
Fax
(520) 838-8729
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 LPC-10817 AZ Primary

Addresses

Primary practice location

8122 Spring Cypress Rd
Spring, TX 77379-3123

Mailing address

12846 Northpointe Bend Dr
Tomball, TX 77377-5878
Phone (713) 505-0117

Other practice location 1

10501 E Seven Generations Way Ste 201-04
Tucson, AZ 85747-5828
Phone (713) 505-0117

Other names 1

  • Susan Renee Pickering Former name

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 Education

State licenses

LicenseStateTypeSpecialty
LPC-10817AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Unified School District Past Accepting new patients
Vail Unified School District Past Accepting new patients

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1356580583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12846 NORTHPOINTE BEND DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775878",
            "telephone_number": "713-505-0117",
            "fax_number": "520-838-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 SPRING CYPRESS RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793123",
            "telephone_number": "713-505-0117",
            "fax_number": "520-838-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10501 E Seven Generations Way Ste 201-04",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857475828",
            "country_code": "US",
            "telephone_number": "713-505-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "credential": "M.ED.,  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "PICKERING",
            "middle_name": "RENEE",
            "credential": "M.ED., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.