Shenera P Boodie
Individual provider Active NPI Professional Counselor · New York, NY
NPI 1245099555 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1245099555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- APC001320 (PA)
- Practice address
- 228 Park Ave S # 883123
New York, NY 10003-1502 - Phone
- (760) 537-3331
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC001320 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC001320 | PA | Yes |
Addresses
Primary practice location
228 Park Ave S # 883123
New York, NY 10003-1502
Mailing address
228 Park Ave S # 883123
New York, NY 10003-1502
Phone (760) 537-3331
Other providers in New York, NY
- Janessa Bonti
- Frank Bonura
- Jessica Anne Bonura
- Daniela Bonvicini
- Hyunji Boo
- Mark Boodram
- Pamela Boodram
- Allison Grace Booher
- Jessica Booher
- Brandon Michael Book
All providers in New York, NY · Professional Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.