Active NPI
Sheila Whitman, LPC
- Professional Counselor
- Watertown, CT
National Provider Identifier
1174640205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000036
- Practice address
- 686 Main Street
Watertown, CT 06795 - Phone
- (860) 945-1111
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000036 | CT | Primary |
Addresses
Primary practice location
686 Main Street
Watertown, CT 06795
Mailing address
61 Stony Brook Road
Middlebury, CT 06762
Phone (203) 598-0367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000036 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174640205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 STONY BROOK ROAD",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "06762",
"telephone_number": "203-598-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 MAIN STREET",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "06795",
"telephone_number": "860-945-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "SHEILA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.