Rosaura Shouder, COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Westinghouse PLZ
Boston, MA 02136-2075

Phone

(617) 839-7392

Fax

(617) 910-9784

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1477292795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEWIS DR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682417",
            "telephone_number": "857-233-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTINGHOUSE PLZ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021362075",
            "telephone_number": "617-839-7392",
            "fax_number": "617-910-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUDER",
        "first_name": "ROSAURA",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ICANnotes",
            "affiliation": "N",
            "endpointDescription": "Electronic medical record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ICANnotes",
            "address_1": "1 Westinghouse Plz",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021362075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Shortelle, NP
• Jaime Allison Shorten, LMHC
• Lillian Shortle
• Mia Shoshany, MA
• David Scott Shottland, MD
• Dror Shalom Shouval, M.D.
• Megan Elizabeth Shove, MSPT
• Andrew Shpyrko, DMD
• William H Shrank, MD
• Alisha Shrestha

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.