Kristen Shortell, MS, LPC, LPAT ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00846900 Issued in NJ

Practice address

39 Avenue at the CMN Ste 106
Shrewsbury, NJ 07702-4560

Phone

(732) 378-9314

NPI assigned

Mar 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1457051435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 NEWMAN SPRINGS RD UNIT 327",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077388012",
            "telephone_number": "732-378-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 AVENUE AT THE CMN STE 106",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024560",
            "telephone_number": "732-378-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTELL",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, LPAT ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "16LP00009600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00846900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Child Counseling Inc.
• Shore Health and Wellness LLC
• Shore Medical DME
• Shore Medicine & Pediatrics Associates P a
• Michelle Short
• SHP VI Shrewsbury LLC
• Shrewsbury Ambulatory Anesthesia LLC
• Shrewsbury Dental Associates,PA
• Shrewsbury Diagnostic Imaging, LLC
• Shrewsbury Family Dental, LLC

• Professional Counselor in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.