Individual provider Active NPI

Sharon Goldie, LPC

  • Professional Counselor
  • Bellmawr, NJ
National Provider Identifier
1528400405
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00616300 Issued in NJ
Practice address
124 Kennedy Blvd
Bellmawr, NJ 08031-1121
Phone
(856) 933-0249
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00138700 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00316200 NJ
Professional Counselor 101YP2500X 37PC00616300 NJ Primary

Addresses

Primary practice location

124 Kennedy Blvd
Bellmawr, NJ 08031-1121

Mailing address

124 Kennedy Blvd
Bellmawr, NJ 08031-1121
Phone (856) 933-0249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110004253 NJ Practitioner - Marriage and Family Therapist 3274983283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00138700NJMDCounselor
37LC00316200NJMDAddiction (Substance Use Disorder) Counselor
37PC00616300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1528400405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 KENNEDY BLVD",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311121",
            "telephone_number": "856-933-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 KENNEDY BLVD",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311121",
            "telephone_number": "856-933-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIE",
        "first_name": "SHARON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00138700",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00316200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00616300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmawr, NJ

Sources for this page

Verify at the official NPI Registry.