Provider Demographics
NPI:1851804462
Name:NIELSEN, SHARON LYNN (LPCC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNN
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:HEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:2202 BEVINGTON LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9374
Mailing Address - Country:US
Mailing Address - Phone:812-655-4080
Mailing Address - Fax:
Practice Address - Street 1:5050 MADISON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1491
Practice Address - Country:US
Practice Address - Phone:513-273-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13494101YP2500X
OHLPC15477101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional