Reimagine You Therapy, LCSW, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REIMAGINE YOU THERAPY, LCSW, PLLC

Practice address

260 Kings Mall CT #167
Kingston, NY 12401-1574

Phone

(845) 237-3977

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Shaw, LCSWNPI 1700546074

Title

Owner/Psychotherapist

Phone

(845) 237-3977

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Shaw, LCSW

  • Clinical Social Worker
  • Kingston, NY
  • NPI 1700546074
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1376239764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 KINGS MALL CT #167",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011574",
            "telephone_number": "845-237-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 KINGS MALL CT #167",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011574",
            "telephone_number": "845-237-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIMAGINE YOU THERAPY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "845-237-3977",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Recchia, MT-BC
• Mary Redlich, RN
• Marjorie Lucy Regan, M.A., LMFT
• Adeel Ur Syed Rehman, M.D.
• Jipala Reicher-Kagan
• Daniel John Reiser, PA
• Paul M Reiter, M.D.
• Joanne M Reith, R.N.
• Glen Scott Reither, O.T.
• Helene Rell-Segreti, M.S.W.

• Adult Mental Health Clinic/Center in Kingston, NY
• Providers in Kingston, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.