{
"Npi": {
"NPI": "1851804462",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NIELSEN",
"FirstName": "SHARON",
"MiddleName": "LYNN",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LPCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HEARD",
"OtherFirstName": "SHARON",
"OtherMiddleName": "LYNN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LPCC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2202 BEVINGTON LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMILTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45013-9374",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-655-4080",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5050 MADISON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CINCINNATI",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45227-1491",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "513-273-3300",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/06/2017",
"LastUpdateDate": "10/30/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "A13494",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101Y00000X",
"TaxonomyName": "Counselor",
"LicenseNumber": "LPC15477",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}