Active NPI
Sharon Marie Gusmus
- Mental Health Counselor
- Lakewood, CO
National Provider Identifier
1871016485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0016029
- Practice address
- 9764 W Girton Dr
Lakewood, CO 80227-4428 - Phone
- (720) 404-4883
- NPI assigned
- Jul 25, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC.0016029 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB.0008447 | CO | |
| Professional Counselor | 101YP2500X | LPC.0016029 | CO | |
| Mental Health Counselor | 101YM0800X | LPC.0016029 | CO | Primary |
Addresses
Primary practice location
9764 W Girton Dr
Lakewood, CO 80227-4428
Mailing address
9764 W Girton Dr
Lakewood, CO 80227-4428
Phone (720) 404-4883
Other practice location 1
2217 Champa St
Denver, CO 80205-2531
Phone (720) 398-9666 ext. 107
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 |
|---|---|---|---|
| ACB.0008447 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0016029 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1871016485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9764 W GIRTON DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802274428",
"telephone_number": "720-404-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9764 W GIRTON DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802274428",
"telephone_number": "720-404-4883"
}
],
"practiceLocations": [
{
"address_1": "2217 Champa St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802052531",
"country_code": "US",
"telephone_number": "720-398-9666 x107",
"fax_number": "720-502-5082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUSMUS",
"first_name": "SHARON",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPC.0016029",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB.0008447",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016029",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0016029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.