SHARETTA BUCKNER CDCA
NPI 1417404393
Counselor in Perrysburg, OH

Active since September 08, 2016
1090 W SOUTH BOUNDARY ST, STE 600, PERRYSBURG, OH 43551(419) 873-8280 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sharetta Buckner Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARETTA BUCKNER CDCA (NPI 1417404393) is an individual counselor in Perrysburg, Ohio, licensed in Ohio (CDCA.160672) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1417404393
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHARETTA BUCKNERCredential: CDCA
Location Address1090 W SOUTH BOUNDARY ST, STE 600Perrysburg, OH 43551-5234
Mailing Address1090 W South Boundary St, Ste 600Perrysburg, OH 43551-5234 · (419) 873-8280
Sole ProprietorYes
Enumeration DateSeptember 8, 2016
NPI 1417404393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OH · CDCA.160672
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1090 W SOUTH BOUNDARY ST, Perrysburg, OH 43551

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1090 W SOUTH BOUNDARY ST, SUITE 600
PERRYSBURG, OH 43551
Social Worker (Clinical)
1090 W SOUTH BOUNDARY ST, SUITE 600
PERRYSBURG, OH 43551
Counselor
1090 W SOUTH BOUNDARY ST
PERRYSBURG, OH 43551
Social Worker (Clinical)
1090 W SOUTH BOUNDARY ST, SUITE 600
PERRYSBURG, OH 43551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharetta Buckner's NPI number?

The NPI number for Sharetta Buckner is 1417404393. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Sharetta Buckner located?

Sharetta Buckner practices at 1090 W South Boundary St Ste 600, Perrysburg, OH 43551. The listed phone number is (419) 873-8280.

What is Sharetta Buckner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Sharetta Buckner was last updated on September 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.