Sharon Kay Peymon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15979 Issued in TX

Practice address

5209 Cloverdale Dr
Tyler, TX 75703-3665

Phone

(903) 520-1500

NPI assigned

Oct 18, 2011

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: sharon.peymon@wchcl.eclinicaldirectplus.com

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

• Special Health Resources for Texas, Incorporated

  dba Longview Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1043209919
  NPD (past)
• Special Health Resources for Texas, Incorporated

  dba Tyler Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1184103285
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1588949895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 CLOVERDALE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033665",
            "telephone_number": "903-520-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 CLOVERDALE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033665",
            "telephone_number": "903-520-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYMON",
        "first_name": "SHARON",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Kay Pettit
• Robert Ryan Pettit, CRNA
• Joseph Lee Petty, M.D.
• Shaunda Rena Petty
• Tara Lynn Peurifoy, AGACNP-BC
• PF Total Adult & Beauty Health Agency
• Brian Douglas Pfeiffer, MD
• Carina Pham, SLP- ASSISTANT
• Christopher Pham
• Thinh Sy-Quoc Pham, D.D.S.

• Professional Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.