Sharon C Mertes, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.006546 Issued in IL

Practice address

16547 S Oak Park Ave
Tinley Park, IL 60477

Phone

(708) 633-9003

Fax

(708) 633-1823

NPI assigned

Aug 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southside Christian Counseling Center

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1861790883
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1720394182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16547 S OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-633-9003",
            "fax_number": "708-633-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16547 S OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-633-9003",
            "fax_number": "708-633-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTES",
        "first_name": "SHARON",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.006546",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "2384531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nannapat Meetam, BCBA
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• Crystal Melendez
• Jorge Mendoza
• Kelli Marie Merlo, SLP
• Manuel S Mesirow, M.D.
• Jennifer Lynn Meter, LCSW
• Jessica Meyer Dodoer, LCPC
• Michael Golk DMD PC
• Midland Oral Surgery and Implant Centers, LTD

• Professional Counselor in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.