Individual provider Active NPI

Matthew D Sharpe, LLPC

  • Professional Counselor
  • Muskegon, MI
National Provider Identifier
1821570748
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016823 Issued in MI
Practice address
1148 4TH St
Muskegon, MI 49441-1907
Phone
(231) 774-6810
NPI assigned
Sep 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016823 MI Primary

Addresses

Primary practice location

1148 4TH St
Muskegon, MI 49441-1907

Mailing address

2440 Huron TRL
Muskegon, MI 49445-1783
Phone (712) 363-2517

Other practice location 1

1188 Evanston Ave
Muskegon, MI 49442-4006
Phone (231) 774-6810

Other practice location 2

1011 2nd St
Muskegon, MI 49440-1231
Phone (231) 774-6810

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
6401016823MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1821570748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HURON TRL",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451783",
            "telephone_number": "712-363-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 4TH ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411907",
            "telephone_number": "231-774-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Evanston Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494424006",
            "country_code": "US",
            "telephone_number": "231-774-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 2nd St",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494401231",
            "country_code": "US",
            "telephone_number": "231-774-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.