Active NPI
Sheiketha Ross, LPC
- Professional Counselor
- New Haven, CT
National Provider Identifier
1265836902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2622
- Practice address
- 54 E Ramsdell St
New Haven, CT 06515-1140 - Phone
- (203) 781-4600
- Fax
- (203) 781-4624
- NPI assigned
- Oct 9, 2014
- 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 | 2622 | CT | Primary |
Addresses
Primary practice location
54 E Ramsdell St
New Haven, CT 06515-1140
Mailing address
30 Hazel Terrace
Suite 23
Woodbridge, CT 06525-5991
Phone (203) 819-7650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008056047 | Other | CT | ROSS MEDICAID |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apt Foundation, Inc | Past | Accepting new patients | |
| Apt Foundation Inc | Past | Accepting new patients | |
| Apt Foundation Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- New Haven, CT
- NPI 1619288610
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New Haven, CT
- NPI 1942511944
-
- Substance Abuse Rehabilitation Facility
- New Haven, CT
- NPI 1336205905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1265836902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HAZEL TERRACE",
"address_2": "SUITE 23",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065255991",
"telephone_number": "203-819-7650",
"fax_number": "203-298-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 E RAMSDELL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151140",
"telephone_number": "203-781-4600",
"fax_number": "203-781-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SHEIKETHA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "2622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROSS MEDICAID",
"identifier": "008056047",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.