Individual provider Active NPI

Sharai T Anderson, LMHC

  • Mental Health Counselor
  • Alamogordo, NM
National Provider Identifier
1750153946
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB-2023-0810 Issued in NM
Practice address
2360 Indian Wells Rd
Alamogordo, NM 88310-4609
Phone
(575) 642-4692
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 393659 NM
Mental Health Counselor 101YM0800X CTB-2023-0810 NM Primary

Addresses

Primary practice location

2360 Indian Wells Rd
Alamogordo, NM 88310-4609

Mailing address

5190 Bright Sky Rd
Roswell, NM 88201-8889
Phone (575) 642-4692

Other practice location 1

5190 Bright Sky Rd
Roswell, NM 88201-8889
Phone (575) 642-4692

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
CTB-2023-0810NMMDMental Health Counselor
393659NMMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1750153946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 BRIGHT SKY RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018889",
            "telephone_number": "575-642-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104609",
            "telephone_number": "575-642-4692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Bright Sky Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882018889",
            "country_code": "US",
            "telephone_number": "575-642-4692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHARAI",
        "middle_name": "T",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NM",
            "license": "393659",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2023-0810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.