Individual provider Active NPI

Sharon West Rogers, D.MIN

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1891243523
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC004718 Issued in GA
Practice address
797 Roswell St NE
Marietta, GA 30060-2134
Phone
(202) 556-0769
Fax
(855) 512-8221
NPI assigned
Sep 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC004718 GA
Counselor 101Y00000X APC004718 GA
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X APC004718 GA Primary

Addresses

Primary practice location

797 Roswell St NE
Marietta, GA 30060-2134

Mailing address

6421 Abercorn Ave
Dunwoody, GA 30346-1642
Phone (202) 556-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260615003299 GA Practitioner - Mental Health Counselor 7416429006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1717

3495 Piedmont Rd NE
Atlanta, GA 30305-1736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC004718GAMDMental Health Counselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1891243523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 ABERCORN AVE",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461642",
            "telephone_number": "202-556-0769",
            "fax_number": "855-512-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 ROSWELL ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602134",
            "telephone_number": "202-556-0769",
            "fax_number": "855-512-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SHARON",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "credential": "D.MIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004718",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC004718",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC004718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.