Active NPI
Rosana Shields, LMHC
- Mental Health Counselor
- Rego Park, NY
National Provider Identifier
1588088124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005566
- Practice address
- 98120 Queens Blvd
Rego Park, NY 11374-4357 - Phone
- (718) 830-0246
- Fax
- (718) 830-9088
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005566 | NY | Primary |
Addresses
Primary practice location
98120 Queens Blvd
Rego Park, NY 11374-4357
Mailing address
98120 Queens Blvd
Rego Park, NY 11374-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005566 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Mental Health | Current | Accepting new patients |
Locations
2 Main St
Ste 2A
Plymouth, MA 02360
3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256
98120 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (718) 268-9598
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1588088124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98120 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98120 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744357",
"telephone_number": "718-830-0246",
"fax_number": "718-830-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ROSANA",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.