Active NPI
Polly Ann Sharp, LPC
- Professional Counselor
- Saint Ann, MO
National Provider Identifier
1871633511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2000159891
- Practice address
- 3704 Adie Rd
Saint Ann, MO 63074-2402 - Phone
- (314) 691-3692
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2000159891 | MO | Primary |
Addresses
Primary practice location
3704 Adie Rd
Saint Ann, MO 63074-2402
Mailing address
3704 Adie Rd
Saint Ann, MO 63074-2402
Phone (314) 691-3692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3155 Sutton Blvd
Suite 201
Maplewood, MO 63143-3917
Phone (314) 781-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Mental Health Counselor
- Maplewood, MO
- NPI 1427226612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871633511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 ADIE RD",
"city": "SAINT ANN",
"state": "MO",
"postal_code": "630742402",
"telephone_number": "314-691-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 ADIE RD",
"city": "SAINT ANN",
"state": "MO",
"postal_code": "630742402",
"telephone_number": "314-691-3692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "POLLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2000159891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Ann, MO
- Safe Harbor Counseling of Missouri, LLC
- Salveo Mentis Counseling & Consulting LLC
- Schnuck Markets Inc (Schnucks Pharmacy 221)
- Debra Schwer, RN, NCSN
- Shannon Patton
- Swapnali Arvind Shinde Kamble, DDS
- St. Ann Alf CNSL Operation LLC
- St. Ann Assisted Living Center LLC
- St. Louis Regional Dialysis Center, Inc. (Bma St Louis)
- Step by Step Healing Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.