Individual provider Active NPI

Sharon K Williston-Benadum, LPC

  • Mental Health Counselor
  • Westerville, OH
National Provider Identifier
1407188550
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0900057 Issued in OH
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

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
162155OHMDAddiction (Substance Use Disorder) Counselor
E0900057OHMDMental Health Counselor
C.0900057OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fords LLC Addiction (Substance Use Disorder) CurrentSince Oct 24, 2021 Accepting new patients
Sydnie Johnson Counseling Services LLC CurrentSince Sep 5, 2021 Accepting new patients
Brett Fitzer LLC Professional PastSince Aug 25, 2025 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.

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.

Verify at the official NPI Registry.