Individual provider Active NPI

Sharon Beverly Watkis, LMHC

  • Mental Health Counselor
  • Mount Vernon, NY
National Provider Identifier
1942307574
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000925-1 Issued in NY
Practice address
283 Rich Ave
Mount Vernon, NY 10552-3311
Phone
(914) 699-9503
NPI assigned
Sep 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 000925-1 NY Primary

Addresses

Primary practice location

283 Rich Ave
Mount Vernon, NY 10552-3311

Mailing address

283 Rich Avenue
Mount Vernon, WESTCHESTER 10552
BT
Phone (914) 699-9503

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

LicenseStateTypeSpecialty
000925-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942307574",
    "addresses": [
        {
            "country_code": "BT",
            "country_name": "Bhutan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "283 RICH AVENUE",
            "city": "MOUNT VERNON",
            "state": "WESTCHESTER",
            "postal_code": "10552",
            "telephone_number": "914-699-9503",
            "fax_number": "914-699-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 RICH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523311",
            "telephone_number": "914-699-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKIS",
        "first_name": "SHARON",
        "middle_name": "BEVERLY",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.