Individual provider Active NPI

Cori Shurack, LPC

  • Professional Counselor
  • Middletown, CT
National Provider Identifier
1407272107
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3052 Issued in CT
Practice address
34 Tupelo PL
Middletown, CT 06457-2039
Phone
(860) 967-4338
NPI assigned
Mar 5, 2014
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3052 CT Primary

Addresses

Primary practice location

34 Tupelo PL
Middletown, CT 06457-2039

Mailing address

34 Tupelo PL
Middletown, CT 06457-2039

Other names 1

  • Cori Capuano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222001899 CT Practitioner - Mental Health Counselor 0547604126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 N Main St
Suite 2 204
Southington, CT 06489-2575
Phone (860) 967-4338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3052CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cori Shurack, PLLC Professional CurrentSince Feb 1, 2024 Accepting new patients

Locations

7 N Main St
Ste 2204
Southington, CT 06489
Phone (860) 967-4338

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1407272107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TUPELO PL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TUPELO PL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572039",
            "telephone_number": "860-967-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURACK",
        "first_name": "CORI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORI",
            "last_name": "CAPUANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.