Individual provider Active NPI

Sharron Lashawn Cross, LPC

  • Mental Health Counselor
  • Brookhaven, GA
National Provider Identifier
1730414939
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC006271 Issued in GA
Practice address
2801 Buford Hwy NE Ste 540
Brookhaven, GA 30329
Phone
(404) 907-0431
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006271 GA
Mental Health Counselor 101YM0800X LPC006271 GA Primary

Addresses

Primary practice location

2801 Buford Hwy NE Ste 540
Brookhaven, GA 30329

Mailing address

PO Box 495
Avondale Est, GA 30002-0495
Phone (404) 704-2653

Other practice location 1

798 Rays Rd
suite 98
Stone Mountain, GA 30083-3144
Phone (404) 704-2653

Other practice location 2

420 Avian Forest Dr
Stockbridge, GA 30281-7265
Phone (770) 268-9905

Other identifiers 1

IdentifierTypeStateIssuer
003134391AMedicaidGA

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
LPC006271GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Connections Comprehensive Services, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1730414939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "AVONDALE EST",
            "state": "GA",
            "postal_code": "300020495",
            "telephone_number": "404-704-2653",
            "fax_number": "404-745-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE 540",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "30329",
            "telephone_number": "404-907-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "798 Rays Rd",
            "address_2": "suite 98",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833144",
            "country_code": "US",
            "telephone_number": "404-704-2653",
            "fax_number": "404-745-8273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Avian Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817265",
            "country_code": "US",
            "telephone_number": "770-268-9905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "SHARRON",
        "middle_name": "LASHAWN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006271",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134391A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.