NPIMap

Organization Active NPI

Shoreline Counseling Group LLC

  • Mental Health Counselor
  • Dover, NH
National Provider Identifier
1164133229
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHORELINE COUNSELING GROUP LLC
Practice address
140 Washington St
Dover, NH 03820-3721
Phone
(603) 836-0393
NPI assigned
Dec 9, 2022
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Emily Mary Nelson Walsh, LICSWNPI 1144593773
Title
Clinical Director
Phone
(603) 836-0383

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

140 Washington St
Dover, NH 03820-3721

Mailing address

PO Box 1604
Dover, NH 03821-1604
Phone (603) 836-0393

Other practice location 1

875 Greenland Rd Unit C6
Portsmouth, NH 03801-4163
Phone (603) 460-5945

Other identifiers 2

IdentifierTypeStateIssuer
1669753554OtherNHNPI
853439574OtherNHNPI

National Provider Directory

National Provider Directory

Locations

140 Washington St
Dover, NH 03820
Phone (603) 836-0393

875 Greenland Rd
Unit C6
Portsmouth, NH 03801
Phone (603) 460-5945

Practitioners & affiliated clinicians

Practitioners 8

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": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1164133229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038211604",
            "telephone_number": "603-836-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WASHINGTON ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203721",
            "telephone_number": "603-836-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Greenland Rd Unit C6",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014163",
            "country_code": "US",
            "telephone_number": "603-460-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORELINE COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MARY NELSON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "603-836-0383",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669753554",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "853439574",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.