Andrew Thomas Sharkey, CDCA PRS CMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9620 Careys Run Pond Creek Rd
MC Dermott, OH 45652-3902

Phone

(740) 858-6683

NPI assigned

Jun 8, 2023

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • McDermott, OH
  • NPI 1811767684
  NPD
• First Capital Recovery and Counseling, LLC

  • Professional Counselor
  • Chillicothe, OH
  • NPI 1902479587
  NPD (past)
• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • McDermott, OH
  • NPI 1871016691
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1366136533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456940402",
            "telephone_number": "740-858-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 CAREYS RUN POND CREEK RD",
            "city": "MC DERMOTT",
            "state": "OH",
            "postal_code": "456523902",
            "telephone_number": "740-858-6683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 State Route 104",
            "address_purpose": "LOCATION",
            "city": "Mc Dermott",
            "state": "OH",
            "postal_code": "456528899",
            "country_code": "US",
            "telephone_number": "740-858-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARKEY",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "CDCA PRS CMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006727",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cody Shy, CDCA, PRS
• Dustin Slater, CMS, QMHS
• Timothy Slone
• Southern Ohio Premier Recovery, LLC
• Southern Ohio Premier Recovery, LLC

• Case Manager/Care Coordinator in McDermott, OH
• Providers in McDermott, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.