Active NPI
Sharon K Deesch, LPC, MAC
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1407013626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 6965
- Practice address
- 515 College Rd
Suite 18
Greensboro, NC 27410-5194 - Phone
- (336) 299-2725
- Fax
- (336) 299-2083
- NPI assigned
- May 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MAC 500-120 | VA | |
| Professional Counselor | 101YP2500X | LPC 6965 | NC | Primary |
Addresses
Primary practice location
515 College Rd
Suite 18
Greensboro, NC 27410-5194
Mailing address
515 College Rd
Suite 18
Greensboro, NC 27410-5194
Phone (336) 299-2725
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 |
|---|---|---|---|
| MAC 500-120 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| LPC 6965 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1407013626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 COLLEGE RD",
"address_2": "SUITE 18",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274105194",
"telephone_number": "336-299-2725",
"fax_number": "336-299-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 COLLEGE RD",
"address_2": "SUITE 18",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274105194",
"telephone_number": "336-299-2725",
"fax_number": "336-299-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEESCH",
"first_name": "SHARON",
"middle_name": "K",
"credential": "LPC, MAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "MAC 500-120",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "LPC 6965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Dedicated Physicians Group of North Carolina PLLC
- Dedicated Physicians Group of North Carolina PLLC
- Edna Rosellen Dedlow, MSN, PNP-BC
- Deep River Psychiatric Group PLLC
- Janet Lee Dees, MD
- Defensive Backs PLLC
- Blair H Degraw, DPT
- Bernard Dehoog, OPTICIAN
- Samuel Gerardo Delabra, RN
- Teryl Norval Delagrange, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.