Shoreline Pastoral Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SHORELINE PASTORAL COUNSELING LLC

Practice address

35 Boston St
Guilford, CT 06437-2817

Phone

(860) 301-6600

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Edward Cornell III, LPCNPI 1154699155

Title

Provider

Phone

(860) 301-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 2

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

• Edward F Cornell III, M.DIV.

  • Mental Health Counselor
  • New Haven, CT
  • NPI 1154699155

  Counselor, CT

  Medicare reassignment Care Compare group NPD Authorized official
• Margaret H Cornell, APRN

  • Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
  • New London, CT
  • NPI 1043535636

  CT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1497401673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SPERRY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431737",
            "telephone_number": "860-301-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BOSTON ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372817",
            "telephone_number": "860-301-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE PASTORAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "860-301-6600",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoreline Dental Associates
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• Shoreline Senior Services, LLC
• Shoreline Spine & Pain Associates, P.C.
• Shoreline Spine & Sport, LLC
• Shoreline TMS LLC
• Lisa Hedgepath Silvestrini, CRNA

• All providers in Guilford, CT
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.