Individual provider Active NPI

Erin C. Sharp

  • Marriage & Family Therapist
  • Winnetka, IL
National Provider Identifier
1760932255
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
208.000381 Issued in IL
Practice address
690 Oak St
Winnetka, IL 60093-2522
Phone
(847) 446-6955
Fax
(847) 446-6957
NPI assigned
Oct 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 208.000381 IL Primary

Addresses

Primary practice location

690 Oak St
Winnetka, IL 60093-2522

Mailing address

690 Oak St
Winnetka, IL 60093-2522
Phone (847) 446-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311000707 IL Practitioner - Marriage and Family Therapist 7012351547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1580 S Milwaukee Ave
Suite 404
Libertyville, IL 60048-3775
Phone (224) 358-3692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208.000381ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Attune Counseling Group LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Samaritan Counseling Center Marriage & Family Therapist PastSince Jul 12, 2017 Accepting new patients

Locations

1580 S Milwaukee Ave
Ste 404
Libertyville, IL 60048
Phone (224) 358-3692

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1760932255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 OAK ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932522",
            "telephone_number": "847-446-6955",
            "fax_number": "847-446-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OAK ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932522",
            "telephone_number": "847-446-6955",
            "fax_number": "847-446-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "ERIN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

Verify at the official NPI Registry.