Shared Space LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHARED SPACE LLC

Practice address

942 Maple Ave
Noblesville, IN 46060-2602

Phone

(317) 361-0962

NPI assigned

Oct 21, 2021

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharlie Patch-Sablan, LMHCNPI 1104202803

Title

Mental Health Counselor

Phone

(317) 361-0962

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharlie Patch-Sablan, LMHC

  • Mental Health Counselor
  • Noblesville, IN
  • NPI 1104202803
  NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1366105884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 E 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203894",
            "telephone_number": "317-361-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 MAPLE AVE",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602602",
            "telephone_number": "317-361-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "PATCH-SABLAN",
        "authorized_official_first_name": "SHARLIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "317-361-0962",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300047038",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "None (Opting out of Endpoint)",
            "address_1": "942 Maple Ave",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460602602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Setmeyer, MS LMHC
• Dean Shaffer
• Nicole Shammas, MD
• Nicholette Shanholt, RBT
• Erica Shannon, RBT
• Bryan M Sharpe, MD
• Jessica A Sheely, M.D.
• Amy Sheller, PHARMD
• Deborah L. Shelley, FNP
• Tammy Shepherd, LMHC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.