Shelley Rosen Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHELLEY ROSEN THERAPY PLLC

Practice address

52 Center St
Portland, ME 04101-3902

Phone

(207) 699-8674

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Shelley Walker Rosen, LCPCNPI 1326109117

Title

Provider

Phone

(207) 699-8674

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shelley Ann Walker Rosen, LCPC

  • Professional Counselor
  • Portland, ME
  • NPI 1326109117
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1558097600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARKET ST",
            "address_2": "SUITE 1A PMB 268",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063647",
            "telephone_number": "207-699-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CENTER ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013902",
            "telephone_number": "207-699-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY ROSEN THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "WALKER ROSEN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "207-699-8674",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine G Sheetz, CRNA
• Miles Lewallen Sheffer, MD
• Erin Kathleen Shefferly, CNP
• Marie B Sheffield, L.C.P.C.
• Shekinah Family Services
• Leah Shelley, CRNP
• Michael Shelley, CRNP
• Prince Shema
• Emily L Shepard, PA
• Iman Shepard

• Professional Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.