Active NPI
Sharon Blevins
- Mental Health Counselor
- Carmichael, CA
National Provider Identifier
1912018771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 51451 MFT INTERN
- Practice address
- 6147 Sutter Ave
Carmichael, CA 95608-2738 - Phone
- (916) 971-7640
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 51451 MFT INTERN | CA | Primary |
Addresses
Primary practice location
6147 Sutter Ave
Carmichael, CA 95608-2738
Mailing address
1501 Gerry Way
Roseville, CA 95661-3415
Phone (916) 786-8908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5898 | Other | CA | MEDICAL ID NUMBER |
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 |
|---|---|---|---|
| 51451 MFT INTERN | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912018771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 GERRY WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613415",
"telephone_number": "916-786-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6147 SUTTER AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956082738",
"telephone_number": "916-971-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEVINS",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "51451 MFT INTERN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ID NUMBER",
"identifier": "5898",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.