Sharon Delee Fortson, MS, LPE-I

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

12-02EI Issued in AR

Practice address

8835 Dennette Rd
Jacksonville, AR 72076-8650

Phone

(501) 500-1389

Fax

(949) 577-4838

NPI assigned

Oct 4, 2007

Last updated

Oct 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sharon Delee Rickett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• United Methodist Children's Home

  • Substance Abuse Rehabilitation Facility
  • Little Rock, AR
  • NPI 1326286386
  NPD (past)
• United Methodist Children's Home, Inc.

  • Psychiatric Residential Treatment Facility
  • Little Rock, AR
  • NPI 1326116518
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1861680852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 DENNETTE RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720768650",
            "telephone_number": "501-500-1389",
            "fax_number": "949-577-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 DENNETTE RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720768650",
            "telephone_number": "501-500-1389",
            "fax_number": "949-577-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 S Fillmore St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722044909",
            "country_code": "US",
            "telephone_number": "501-906-4909",
            "fax_number": "501-296-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTSON",
        "first_name": "SHARON",
        "middle_name": "DELEE",
        "credential": "MS, LPE-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "12-02EI",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "AR",
            "license": "12-02EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "RICKETT",
            "middle_name": "DELEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Matthew Fink
• Freeman Floyd
• Anna Follette, LMSW
• Lauren Pruitt Ford, PTA
• Torshia Ladell Forte
• Richard Foster, O.D.
• Elizabeth Ann Fowler, LPC
• Mary Lu Fowler
• Marandy Renee Franklin, LPN
• Angelyn Franks, M.S. CCC-SLP

• Psychoanalyst in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Psychoanalyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.