Individual provider Active NPI

Wendy Lynn Sharak, LMHC, ATR

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1427611136
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6393 Issued in MA
Practice address
50 Congress St
Boston, MA 02109-4002
Phone
(617) 706-2601
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6393 MA Primary

Addresses

Primary practice location

50 Congress St
Boston, MA 02109-4002

Mailing address

53B Brandywyne Dr
East Boston, MA 02128-1161
Phone (617) 983-9258

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
6393MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1427611136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53B BRANDYWYNE DR",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281161",
            "telephone_number": "617-983-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CONGRESS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094002",
            "telephone_number": "617-706-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAK",
        "first_name": "WENDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMHC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.