Individual provider Active NPI

Sharon Parker, MSW, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Dyer, IN
National Provider Identifier
1447925458
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87001273A Issued in IN
Practice address
642 206TH Street
Dyer, Indiana 46311
Dyer, IN 46311-4631
Phone
(219) 427-3664
Fax
(219) 864-7898
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001273A IN Primary
Clinical Social Worker 1041C0700X 87001273A IN

Addresses

Primary practice location

642 206TH Street
Dyer, Indiana 46311
Dyer, IN 46311-4631

Mailing address

642 206TH Street
Dyer, Indiana 46311
Dyer, IN 46311
Phone (219) 427-3664

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
87001273AINMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1447925458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 206TH STREET",
            "address_2": "DYER, INDIANA 46311",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46311",
            "telephone_number": "219-427-3664",
            "fax_number": "219-864-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 206TH STREET",
            "address_2": "DYER, INDIANA 46311",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463114631",
            "telephone_number": "219-427-3664",
            "fax_number": "219-864-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SHARON",
        "credential": "MSW, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001273A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "87001273A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.