Active NPI
Sharon Forth Sevier, L.P.C.
- Mental Health Counselor
- Manchester, MO
National Provider Identifier
1710150750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2001003737
- Practice address
- 119 Clarson Executive PK
Manchester, MO 63011 - Phone
- (636) 256-0600
- NPI assigned
- Apr 10, 2008
- Last updated
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2001003737 | MO | Primary |
Addresses
Primary practice location
119 Clarson Executive PK
Manchester, MO 63011
Mailing address
911 Salem Way
Ellisville, MO 63021-4742
Phone (636) 230-8869
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2001003737 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1710150750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 SALEM WAY",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630214742",
"telephone_number": "636-230-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 CLARSON EXECUTIVE PK",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "63011",
"telephone_number": "636-256-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVIER",
"first_name": "SHARON",
"middle_name": "FORTH",
"name_prefix": "Dr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2001003737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.