Organization Active NPI

Shift Your Journey Mental Health Counseling, PLLC

  • Mental Health Counselor
  • White Plains, NY
National Provider Identifier
1144989138
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHIFT YOUR JOURNEY MENTAL HEALTH COUNSELING, PLLC
Practice address
75 S Broadway FL 4
White Plains, NY 10601-4413
Phone
(914) 902-8923
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Grace Addow-Langlais, LMHCNPI 1467121442
Title
Owner
Phone
(347) 885-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

75 S Broadway FL 4
White Plains, NY 10601-4413

Mailing address

75 S Broadway FL 4
White Plains, NY 10601-4413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250212000579 NY Part B Supplier - Clinic/Group Practice 1658801238 Receives reassigned benefits from 2 practitioners
Practice locations: White Plains, NY
O20250305002735 CT Part B Supplier - Clinic/Group Practice 1658801238 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT
O20250930003407 NJ Part B Supplier - Clinic/Group Practice 1658801238 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

805 E Broward Blvd
Ste 301A4
Fort Lauderdale, FL 33301
Phone (914) 221-3200

75 S Broadway
Ste 439
White Plains, NY 10601
Phone (832) 532-8958

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1144989138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S BROADWAY FL 4",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S BROADWAY FL 4",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014413",
            "telephone_number": "914-902-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT YOUR JOURNEY MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "ADDOW-LANGLAIS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-885-5510",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.