Eboni Shanice Pope, MFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2868 Issued in CT

Practice address

384 Pratt St
Meriden, CT 06450-8627

Phone

(203) 235-5767

Fax

(203) 238-2010

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Guidance Clinic for Central Connecticut, Inc

  • Mental Health Counselor
  • Meriden, CT
  • NPI 1851880546
  NPD
• Community Guidance Clinic for Central Connecticut, Inc

  • Mental Health Counselor
  • Meriden, CT
  • NPI 1467500090
  NPD (past)
• Pathways to Perseverance LLC

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1750142220
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1144946203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 PRATT ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508627",
            "telephone_number": "203-235-5767",
            "fax_number": "203-238-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 PRATT ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508627",
            "telephone_number": "203-235-5767",
            "fax_number": "203-238-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "EBONI",
        "middle_name": "SHANICE",
        "credential": "MFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Paul Podrasky, D.D.S.
• Sheila Poetti, DDS
• Giustina Schiano Polvani
• Oliver Pomazi
• Allison M Pomeroy, OTR/L
• Alyssa Porter, NP
• Theresa Porter, PSY
• Positive Alternatives for Children & Teens, Inc
• Nicolas Brown Potenza, BSN, RN
• John Albert Potter III, LCSW

• Marriage & Family Therapist in Meriden, CT
• Providers in Meriden, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.