Individual provider Active NPI

Sharon Greenberger, LPCC, NCC, LADC

  • Mental Health Counselor
  • Brainerd, MN
National Provider Identifier
1679959068
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
520 NW 5TH Street
Brainerd, MN 56431
Phone
(218) 829-3235
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 MN Primary

Addresses

Primary practice location

520 NW 5TH Street
Brainerd, MN 56431

Mailing address

401 W Laurel St Ste C
Brainerd, MN 56401-3970
Phone (218) 454-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20241203000446 MN Practitioner - Mental Health Counselor 5496280216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapist CurrentSince Sep 24, 2024 Accepting new patients

Locations

401 W Laurel St
Ste C
Brainerd, MN 56401
Phone (218) 454-3288

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1679959068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LAUREL ST STE C",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013970",
            "telephone_number": "218-454-3288",
            "fax_number": "218-461-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NW 5TH STREET",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-829-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERGER",
        "first_name": "SHARON",
        "credential": "LPCC, NCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.