Individual provider Active NPI

Sharon Marie Klinger, BSL, MA, LMT

  • Professional Counselor
  • Auburn, PA
National Provider Identifier
1841022811
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018071 Issued in PA
Practice address
405 Blackhawk Dr
Auburn, PA 17922-9545
Phone
(570) 573-5932
NPI assigned
Aug 17, 2024
Last updated
Dec 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC018071 PA Primary
Behavior Analyst 103K00000X BH000929 PA

Addresses

Primary practice location

405 Blackhawk Dr
Auburn, PA 17922-9545

Mailing address

405 Blackhawk Dr
Auburn, PA 17922-9545
Phone (570) 956-7397

Other practice location 1

200 E Norwegian St Rear
Pottsville, PA 17901-3638
Phone (570) 956-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250204002529 PA Practitioner - Mental Health Counselor 2264962448 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science - Law, Master of Arts

State licenses

LicenseStateTypeSpecialty
PC018071PAMDProfessional Counselor
BH000929PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jan 31, 2025 Accepting new patients
Psychological Associates of Schuylkill County, LLC Single Specialty CurrentSince Jan 30, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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, 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": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1841022811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BLACKHAWK DR",
            "city": "AUBURN",
            "state": "PA",
            "postal_code": "179229545",
            "telephone_number": "570-956-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BLACKHAWK DR",
            "city": "AUBURN",
            "state": "PA",
            "postal_code": "179229545",
            "telephone_number": "570-573-5932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Norwegian St Rear",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013638",
            "country_code": "US",
            "telephone_number": "570-956-7397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGER",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BSL, MA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018071",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, PA

Sources for this page

Verify at the official NPI Registry.