Individual provider Active NPI

Sharon Marie Evans, MC, NCC, LHC

  • Mental Health Counselor
  • Leavenworth, WA
National Provider Identifier
1639465792
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60173010 Issued in WA
Practice address
11779 Highway 2 Ste 105
Mittenwalder Platz
Leavenworth, WA 98826-1362
Phone
(509) 860-5309
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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 LH 60173010 WA Primary

Addresses

Primary practice location

11779 Highway 2 Ste 105
Mittenwalder Platz
Leavenworth, WA 98826-1362

Mailing address

11779 Highway 2 Ste 105
Mittenwalder Platz
Leavenworth, WA 98826-1362
Phone (509) 860-5309

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
LH 60173010WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1639465792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11779 HIGHWAY 2 STE 105",
            "address_2": "MITTENWALDER PLATZ",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261362",
            "telephone_number": "509-860-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11779 HIGHWAY 2 STE 105",
            "address_2": "MITTENWALDER PLATZ",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261362",
            "telephone_number": "509-860-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MC, NCC, LHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60173010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.