Active NPI
Sharon Ellen Fearon, BS/BCC/LADC
- Addiction (Substance Use Disorder) Counselor
- Fridley, MN
National Provider Identifier
1407868672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 301877
- Practice address
- 7590 Lyric LN NE
Fridley, MN 55432-3251 - Phone
- (763) 236-4300
- Fax
- (763) 236-4370
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 301877 | MN | Primary |
Addresses
Primary practice location
7590 Lyric LN NE
Fridley, MN 55432-3251
Mailing address
14005 Argon St NW
Ramsey, MN 55303-2293
Phone (763) 433-9032
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301877 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407868672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14005 ARGON ST NW",
"city": "RAMSEY",
"state": "MN",
"postal_code": "553032293",
"telephone_number": "763-433-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7590 LYRIC LN NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554323251",
"telephone_number": "763-236-4300",
"fax_number": "763-236-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARON",
"first_name": "SHARON",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "BS/BCC/LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "301877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
- Fairview Pharmacy Services LLC (Fairview Fridley Clinic MTM)
- Fairview Pharmacy Services LLC (Fairview Pharmacy Fridley)
- Family Visions, Inc.
- Sheiren Farag-El-Massah, PHARM.D., PH.D.
- Ayub Ali Farah
- Jacqueline Rose Fendler, MSW
- Afifa Muhamde Feyesso
- Hikima Muhamde Feyesso
- Caromyr Figueroa Silvestrini, MD
- Tara Finnesgard, ED.S, NCSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.