Active NPI
Sharon K Williston-Benadum, LPC
- Mental Health Counselor
- Westerville, OH
National Provider Identifier
1407188550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0900057
- Practice address
- 100 Dorchester SQ N Ste 102
Westerville, OH 43081-7305 - Phone
- (614) 890-8262
- Fax
- (614) 776-5333
- NPI assigned
- Jan 30, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 162155 | OH | |
| Professional Counselor | 101YP2500X | C.0900057 | OH | |
| Mental Health Counselor | 101YM0800X | E0900057 | OH | Primary |
Addresses
Primary practice location
100 Dorchester SQ N Ste 102
Westerville, OH 43081-7305
Mailing address
100 Dorchester SQ N Ste 102
Westerville, OH 43081-7305
Phone (161) 489-0826
Other practice location 1
509 S Otterbein Ave
Suite 9
Westerville, OH 43081-2951
Phone (614) 776-5311
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 |
|---|---|---|---|
| 162155 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E0900057 | OH | MD | Mental Health Counselor |
| C.0900057 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fords LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Sydnie Johnson Counseling Services LLC | Current | Accepting new patients | |
| Brett Fitzer LLC | Professional | Past | Accepting new patients |
Locations
100 Dorchester Sq N
Ste 102
Westerville, OH 43081
Phone (614) 776-5311
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Westerville, OH
- NPI 1063054427
-
- Professional Counselor
- Westerville, OH
- NPI 1225915259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1407188550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DORCHESTER SQ N STE 102",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430817305",
"telephone_number": "161-489-0826",
"fax_number": "614-776-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DORCHESTER SQ N STE 102",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430817305",
"telephone_number": "614-890-8262",
"fax_number": "614-776-5333"
}
],
"practiceLocations": [
{
"address_1": "509 S Otterbein Ave",
"address_2": "Suite 9",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430812951",
"country_code": "US",
"telephone_number": "614-776-5311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLISTON-BENADUM",
"first_name": "SHARON",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-30",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "162155",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0900057",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0900057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.