Individual provider Active NPI

Shruti Joshi, M.S., LPC

  • Mental Health Counselor
  • Bedford, NH
National Provider Identifier
1225684590
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2373 Issued in NH
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

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2373NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Delaware, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Optum Behavioral Care of Delaware, Inc CurrentSince Dec 2, 2024 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.

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

Verify at the official NPI Registry.