Active NPI
Shruti Joshi, M.S., LPC
- Mental Health Counselor
- Bedford, NH
National Provider Identifier
1225684590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2373
- Practice address
- 360 Route 101 Ste 12B
Bedford, NH 03110-5031 - Phone
- (603) 242-2296
- NPI assigned
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CT | ||
| Mental Health Counselor | 101YM0800X | 2373 | NH | Primary |
Addresses
Primary practice location
360 Route 101 Ste 12B
Bedford, NH 03110-5031
Mailing address
25 S River Rd Ste 307
Bedford, NH 03110-6716
Phone (603) 242-2296
Other practice location 1
325 Danbury Rd
New Milford, CT 06776-4344
Phone (860) 354-8556 ext. 481
Other names 1
- Shruti Yedave
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2373 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Delaware, Inc. | Current | Accepting new patients | |
| Optum Behavioral Care of Delaware, Inc | Current | Accepting new patients |
Locations
25 S River Rd
Ste 307
Bedford, NH 03110
Phone (603) 242-2296
11 Court St
Ste 210
Exeter, NH 03833
Phone (603) 242-2296
1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Nashua, NH
- NPI 1043083595
-
- Clinical Social Worker
- Bedford, NH
- NPI 1336932557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1225684590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 S RIVER RD STE 307",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106716",
"telephone_number": "603-242-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 ROUTE 101 STE 12B",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105031",
"telephone_number": "603-242-2296"
}
],
"practiceLocations": [
{
"address_1": "325 Danbury Rd",
"address_purpose": "LOCATION",
"city": "New Milford",
"state": "CT",
"postal_code": "067764344",
"country_code": "US",
"telephone_number": "860-354-8556 x481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSHI",
"first_name": "SHRUTI",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "2373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHRUTI",
"last_name": "YEDAVE",
"credential": "M.S., LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.