Individual provider Active NPI

Melissa Ann Shute, MS

  • Professional Counselor
  • Bloomfield, CT
National Provider Identifier
1437804101
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5410 Issued in CT
Practice address
3 Barnard LN Ste 304
Bloomfield, CT 06002-2495
Phone
(860) 797-5306
Fax
(860) 310-3292
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 5410 CT Primary

Addresses

Primary practice location

3 Barnard LN Ste 304
Bloomfield, CT 06002-2495

Mailing address

3 Barnard LN Ste 304
Bloomfield, CT 06002-2495
Phone (860) 797-5306

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
I20240507000416 CT Practitioner - Mental Health Counselor 2860832938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Barnard LN
Suite 304
Bloomfield, CT 06002-2495
Phone (860) 797-5306

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Power Psychotherapy and Hypnosis, LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

3 Barnard Ln
Ste 304
Bloomfield, CT 06002
Phone (860) 797-5306

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1437804101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARNARD LN STE 304",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022495",
            "telephone_number": "860-797-5306",
            "fax_number": "860-310-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARNARD LN STE 304",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022495",
            "telephone_number": "860-797-5306",
            "fax_number": "860-310-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.