Individual provider Active NPI

Kathleen Marie Sharkey, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1659593945
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0147741 Issued in NM
Practice address
36 Aventura Rd
Santa Fe, NM 87508-8744
Phone
(505) 603-3084
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0103061 NM
Professional Counselor 101YP2500X 0147741 NM Primary

Addresses

Primary practice location

36 Aventura Rd
Santa Fe, NM 87508-8744

Mailing address

7 Avenida Vista Grande
B7 PMB 121
Santa Fe, NM 87508-8744
Phone (505) 603-3084

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0103061NMMDMental Health Counselor
0147741NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Triple Spiral Counseling, LLC Mental Health Current Accepting new patients
Wethree, LLC Professional CurrentSince Jan 31, 2021 Accepting new patients

Locations

7 Avenida Vista Grande
Ste B7
Santa Fe, NM 87508
Phone (479) 426-8172

150 Washington Ave
Ste 201
Santa Fe, NM 87501
Phone (505) 204-4788

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1659593945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AVENIDA VISTA GRANDE",
            "address_2": "B7 PMB 121",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088744",
            "telephone_number": "505-603-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 AVENTURA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088744",
            "telephone_number": "505-603-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKEY",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-01-26",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0103061",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0147741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.