Shine Counseling and Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

118888 Issued in MA

Legal business name

SHINE COUNSELING AND WELLNESS, LLC

Practice address

80 Washington St Ste C17
Norwell, MA 02061-1729

Phone

(781) 427-6146

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Renee Reilly Gambell, LICSW

Title

Managing Member

Phone

(781) 427-6146

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1033611520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE C17",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611729",
            "telephone_number": "781-427-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE C17",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611729",
            "telephone_number": "781-427-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "GAMBELL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "REILLY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "781-427-6146",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "118888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Shea
• Jennifer Hart Sheflin
• Alesia Marie Sheridan, BCBA
• Sherry E. Johnson, P.C.
• Monica H Shields, LIC. AC.
• Kayla Shirtz
• David M Shumaker, PHD
• Alexandra L Sibert, DC
• Vamila Silva Dos Santos
• Alison Silva, LICSW

• Community/Behavioral Health Agency in Norwell, MA
• Providers in Norwell, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.