Active NPI
Sharon McCollough
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1386179299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC6669
- Practice address
- 3219 Phelps Lane
First Floor
Baltimore, MD 21229 - Phone
- (410) 302-2177
- Fax
- (410) 488-1144
- NPI assigned
- Apr 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC6669 | MD | Primary |
Addresses
Primary practice location
3219 Phelps Lane
First Floor
Baltimore, MD 21229
Mailing address
3219 Phelps LN FL 1
Baltimore, MD 21229-3735
Phone (410) 302-2177
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6669 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1386179299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 PHELPS LN FL 1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293735",
"telephone_number": "410-302-2177",
"fax_number": "410-488-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 PHELPS LANE",
"address_2": "FIRST FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21229",
"telephone_number": "410-302-2177",
"fax_number": "410-488-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLLOUGH",
"first_name": "SHARON",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC6669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.