Active NPI
Sharon B Soucy, LCMHC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1811028574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 434
- Practice address
- 2101 Garner Rd #113
Raleigh, NC 27610-4687 - Phone
- (919) 787-6131
- Fax
- (919) 571-2932
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 434 | NH | Primary |
Addresses
Primary practice location
2101 Garner Rd #113
Raleigh, NC 27610-4687
Mailing address
3125 Poplarwood CT H203
Raleigh, NC 27604-6445
Phone (919) 787-6131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423442 | Medicaid | NH | |
| 30424277 | Medicaid | NH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 434 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1811028574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 POPLARWOOD CT H203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276046445",
"telephone_number": "919-787-6131",
"fax_number": "919-571-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 GARNER RD #113",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276104687",
"telephone_number": "919-787-6131",
"fax_number": "919-571-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUCY",
"first_name": "SHARON",
"middle_name": "B",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423442",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30424277",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.