Individual provider Active NPI

Sharnece Ayana Thomas, NCC, LMHC, LPC

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1629323100
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007091 Issued in VA
Practice address
3975 University Dr Ste 210
Fairfax, VA 22030-2534
Phone
(703) 267-5704
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006592 PA
Professional Counselor 101YP2500X LC8260 MD
Professional Counselor 101YP2500X 0701007091 VA Primary
Mental Health Counselor 101YM0800X MH11326 FL

Addresses

Primary practice location

3975 University Dr Ste 210
Fairfax, VA 22030-2534

Mailing address

3975 University Dr Ste 210
Fairfax, VA 22030-2534
Phone (703) 401-8717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260303002706 VA Practitioner - Mental Health Counselor 3274015904 Reassigns benefits to 1 organization
I20260305001852 MA Practitioner - Mental Health Counselor 3274015904 Reassigns benefits to 1 organization
I20260409003143 MD Practitioner - Mental Health Counselor 3274015904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH11326FLMDMental Health Counselor
LC8260MDMDProfessional Counselor
PC006592PAMDProfessional Counselor
0701007091VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Feb 1, 2026 Accepting new patients
Serene Solutions Counseling & Consulting Services, LLC CurrentSince Dec 5, 2021 Accepting new patients

Locations

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

3975 University Dr
Ste 210
Fairfax, VA 22030
Phone (703) 267-5704

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Organizations & group practices 2

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1629323100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 UNIVERSITY DR STE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302534",
            "telephone_number": "703-401-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 UNIVERSITY DR STE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302534",
            "telephone_number": "703-267-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHARNECE",
        "middle_name": "AYANA",
        "credential": "NCC, LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006592",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8260",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007091",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.