Sharon F. Mindock, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180004578 Issued in IL

Practice address

6320 Sheridan
Suite B
Peoria, IL 61614-3053

Phone

(309) 691-7697

Fax

(309) 691-2530

NPI assigned

May 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1427225960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SHERIDAN",
            "address_2": "SUITE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143053",
            "telephone_number": "309-691-7697",
            "fax_number": "309-691-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SHERIDAN",
            "address_2": "SUITE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143053",
            "telephone_number": "309-691-7697",
            "fax_number": "309-691-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDOCK",
        "first_name": "SHARON",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004578",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Mills, LPC
• Taylor Milsteadt, APRN, CNP
• Adel F Mina, M.D.
• Brendan Dean Minardi, D.O.
• Mindock Counseling and Consulting
• Charles Miner
• Michael W Minesinger, RPH
• Megan Elizabeth Mink, PT, DPT
• Derek Minor, MD
• Mario Miranda, DO

• Mental Health Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.