Active NPI
Sharon Denise Richardson, LPC-MHSP, CRC
- Professional Counselor
- Memphis, TN
National Provider Identifier
1417430323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0000003867
- Practice address
- 6634 Birch Run LN
Memphis, TN 38115-5208 - Phone
- (901) 216-1226
- Fax
- (901) 368-4315
- NPI assigned
- Sep 7, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0000003867 | TN | |
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 0000003867 | TN | |
| Rehabilitation Counselor | 225C00000X | 00174823 | ||
| Professional Counselor | 101YP2500X | 0000003867 | TN | Primary |
Addresses
Primary practice location
6634 Birch Run LN
Memphis, TN 38115-5208
Mailing address
6634 Birch Run LN
Memphis, TN 38115-5208
Phone (901) 216-1226
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000003867 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1417430323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6634 BIRCH RUN LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381155208",
"telephone_number": "901-216-1226",
"fax_number": "901-368-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6634 BIRCH RUN LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381155208",
"telephone_number": "901-216-1226",
"fax_number": "901-368-4315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "SHARON",
"middle_name": "DENISE",
"credential": "LPC-MHSP, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "0000003867",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "0000003867",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": "00174823",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "0000003867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.