Individual provider Active NPI

Sharlene Hilton McClendon, LPC

  • Mental Health Counselor
  • Lilburn, GA
National Provider Identifier
1740754639
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010705 Issued in GA
Practice address
4716 Habersham RDG SW
Lilburn, GA 30047-5603
Phone
(770) 597-7612
NPI assigned
Jan 14, 2019
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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 LPC010705 GA Primary

Addresses

Primary practice location

4716 Habersham RDG SW
Lilburn, GA 30047-5603

Mailing address

4716 Habersham RDG SW
Lilburn, GA 30047-5603
Phone (770) 597-7612

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
LPC010705GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Together Solutions, LLC CurrentSince Oct 6, 2019 Accepting new patients

Locations

907 Emory St
Unit 1421
Oxford, GA 30054

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": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1740754639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 HABERSHAM RDG SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475603",
            "telephone_number": "770-597-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 HABERSHAM RDG SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475603",
            "telephone_number": "770-597-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "SHARLENE",
        "middle_name": "HILTON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.