Individual provider Active NPI

Kirk A. Sharrock, LPCC-S

  • Professional Counselor
  • Dublin, OH
National Provider Identifier
1982742441
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-4369 Issued in OH
Practice address
7251 Sawmill Rd.
Suite 150
Dublin, OH 43016
Phone
(614) 766-0161
Fax
(614) 766-0298
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E-4369 OH Primary

Addresses

Primary practice location

7251 Sawmill Rd.
Suite 150
Dublin, OH 43016

Mailing address

7251 Sawmill Rd.
Suite 150
Dublin, OH 43016
Phone (614) 766-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240318000190 OH Practitioner - Mental Health Counselor 8628415312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Ohio IncGroup PAC ID 7719325083, 67 clinicians

Practice addresses (Care Compare)

18077 State Route 31
Marysville, OH 43040-9767
Phone (614) 459-4490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E-4369OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc Current Accepting new patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Apr 1, 2024 Accepting new patients
Arbor Counseling LLC Professional Past Accepting new patients
Optum Behavioral Care of Ohio, Inc Past Accepting new patients

Locations

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 457-4490

7251 Sawmill Rd
Ste 150
Dublin, OH 43016
Phone (614) 764-8780

18077 State Route 31
Marysville, OH 43040
Phone (614) 766-0161

3055 Kettering Blvd
Ste 218
Moraine, OH 45439
Phone (937) 813-1292

Organizations & group practices 5

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1982742441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 SAWMILL RD.",
            "address_2": "SUITE 150",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-766-0161",
            "fax_number": "614-766-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 SAWMILL RD.",
            "address_2": "SUITE 150",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-766-0161",
            "fax_number": "614-766-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARROCK",
        "first_name": "KIRK",
        "middle_name": "A.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-4369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.