Individual provider Active NPI

Sharon Spector, LCPC, NCC

  • Mental Health Counselor
  • Towson, MD
National Provider Identifier
1962779090
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC 0064 Issued in MD
Practice address
744 Dulaney Valley Rd
Suite 7
Towson, MD 21204-5132
Phone
(443) 415-5415
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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 LC 0064 MD Primary

Addresses

Primary practice location

744 Dulaney Valley Rd
Suite 7
Towson, MD 21204-5132

Mailing address

2703 Southern Ave
Baltimore, MD 21214-2831
Phone (443) 415-5415

Other identifiers 2

IdentifierTypeStateIssuer
LC 0064OtherMDLICENSED CLINICAL PROFESSIONAL COUNSELOR
LC #5178OtherNATIONAL CERTIFIED COUNSELOR, NBCC

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
LC 0064MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1962779090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 SOUTHERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142831",
            "telephone_number": "443-415-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD",
            "address_2": "SUITE 7",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "443-415-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC 0064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "LC 0064",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFIED COUNSELOR, NBCC",
            "identifier": "LC #5178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.