NPIMap

Organization Active NPI

Shore Path Counseling LLC

  • Professional Counselor
  • Enfield, CT
National Provider Identifier
1023866415
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SHORE PATH COUNSELING LLC
Practice address
9 Sherwin Dr
Enfield, CT 06082-2065
Phone
(860) 558-5514
NPI assigned
May 9, 2024
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Jaime Bohan, LPCNPI 1922855089
Title
Manager
Phone
(860) 558-5514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

9 Sherwin Dr
Enfield, CT 06082-2065

Mailing address

PO Box 277
Enfield, CT 06083-0277
Phone (860) 558-5514

National Provider Directory

National Provider Directory

Locations

31 Palomba Dr
Unit 277
Enfield, CT 06083
Phone (860) 558-5514

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1023866415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060830277",
            "telephone_number": "860-558-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SHERWIN DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822065",
            "telephone_number": "860-558-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PATH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "BOHAN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-558-5514",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.