Carl Shields, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000245 Issued in CT

Practice address

97 South St Ste 105
West Hartford, CT 06110-1964

Phone

(860) 461-0504

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lemay & Associates LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
  • NPI 1679295091
  Medicare reassignment NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1548901556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SOUTH ST STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101964",
            "telephone_number": "860-461-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 SOUTH ST STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101964",
            "telephone_number": "860-461-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cshields@sullivanlemay.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "97 South St Ste 105",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061101964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Shapiro, R.D.N
• Christine Leah Shapter, MD
• Cornelia F Sharrow, LCSW
• Shaws Supermarkets Inc
• Morgan Elizabeth Shehan, LICENSED OPTICIAN
• Saran Shields, LMSW
• Carol Shilliday, PSY.D.
• Jamie Raye Shipman-Richters, LMSW
• Darian Nicole Shipman, MS, BCBA, LBA, LABA
• Diana Shnitman, PHARMD

• Professional Counselor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.