Cloud-Shine Counseling Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLOUD-SHINE COUNSELING SERVICES LLC

Practice address

67 Russ St
Hartford, CT 06106-5408

Phone

(225) 715-0608

NPI assigned

Aug 25, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scherell D.G. BryanNPI 1922466234

Title

Owner

Phone

(225) 715-0608

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, CT2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scherell D.G. Bryan

  • Counselor
  • Hartford, CT
  • NPI 1922466234

  MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1629797220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 RUSS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065408",
            "telephone_number": "225-715-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 RUSS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065408",
            "telephone_number": "225-715-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD-SHINE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "SCHERELL",
        "authorized_official_middle_name": "D.G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-715-0608"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XXXXX",
            "identifier": "XXXXXX",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Mary Clements, APRN
• Nicole Katheryn Clemons, PHARMD
• Fredo J Clermont, DNP, APRN
• Erin Patricia Clifford, DO
• Clinisanitas
• Christina Clout
• Michelle M. Cloutier, MD
• Phillips Andre Cloutier, PA-C
• Monica Rae Cluff, APRN
• CNC Celestial Home Care LLC

• Community/Behavioral Health Agency in Hartford, CT
• Providers in Hartford, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.