Active NPI
Sharon Beach, LISW-S
- Counselor
- Canton, OH
National Provider Identifier
1952058273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1101082-SUPV
- Practice address
- 100 30TH St NW
Canton, OH 44709-3100 - Phone
- (330) 396-1563
- NPI assigned
- Mar 7, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1101082-SUPV | OH | Primary |
Addresses
Primary practice location
100 30TH St NW
Canton, OH 44709-3100
Mailing address
137 N Meadowcroft Dr
Akron, OH 44313-6253
Phone (330) 396-1563
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | affirmationcounseling1@gmail.com | Direct |
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 |
|---|---|---|---|
| 1101082-SUPV | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon Beach | Single Specialty | Current | Accepting new patients |
Locations
100 30th St NW
Canton, OH 44709
Phone (330) 396-1563
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": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1952058273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 N MEADOWCROFT DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443136253",
"telephone_number": "330-396-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 30TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447093100",
"telephone_number": "330-396-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "SHARON",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "OH",
"license": "1101082-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "affirmationcounseling1@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 30th St NW",
"city": "Canton",
"state": "OH",
"country_code": "US",
"postal_code": "447093100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.