Active NPI
Aneela Shah
- Professional Counselor
- Suffield, CT
National Provider Identifier
1629747688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 46.005171
- Practice address
- 1457 North St
Suffield, CT 06078-1115 - Phone
- (860) 778-4701
- NPI assigned
- Sep 12, 2021
- Last updated
- Sep 12, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 46.005171 | CT | Primary |
Addresses
Primary practice location
1457 North St
Suffield, CT 06078-1115
Mailing address
1457 North St
Suffield, CT 06078-1115
Phone (860) 778-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 8, 2026 through Mar 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46.005171 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindset Time | Professional | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Suffield, CT
- NPI 1518680032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631404800000",
"number": "1629747688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 NORTH ST",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060781115",
"telephone_number": "860-778-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 NORTH ST",
"city": "SUFFIELD",
"state": "CT",
"postal_code": "060781115",
"telephone_number": "860-778-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ANEELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-12",
"last_updated": "2021-09-12",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "46.005171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.