Individual provider Active NPI

Laura Elizabeth Sharp, AMFT, APCC

  • Mental Health Counselor
  • Fair Oaks, CA
National Provider Identifier
1871203950
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
134362 Issued in CA
Practice address
10940 Fair Oaks Blvd Ste 600
Fair Oaks, CA 95628-5958
Phone
(916) 426-2757
NPI assigned
Nov 30, 2022
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 134362 CA Primary

Addresses

Primary practice location

10940 Fair Oaks Blvd Ste 600
Fair Oaks, CA 95628-5958

Mailing address

10940 Fair Oaks Blvd Ste 600
Fair Oaks, CA 95628-5958
Phone (916) 426-2757

Other names 1

  • Laura Sharp Dixon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2025 through Mar 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Relationship and Marriage Therapy Center: a Professional Corporation CurrentSince Dec 6, 2022 Accepting new patients

Locations

10940 Fair Oaks Blvd
Ste 600
Fair Oaks, CA 95628
Phone (916) 426-2757

Organizations & group practices 1

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1871203950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 FAIR OAKS BLVD STE 600",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285958",
            "telephone_number": "916-426-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 FAIR OAKS BLVD STE 600",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285958",
            "telephone_number": "916-426-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "134362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DIXON",
            "middle_name": "SHARP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.