Individual provider Active NPI

Shinille Yvette Bost Allen, M.S

  • Mental Health Counselor
  • Wayne, PA
National Provider Identifier
1861049926
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
998 Old Eagle School Rd Ste 1206
Wayne, PA 19087-1805
Phone
(610) 710-4024
NPI assigned
Aug 23, 2019
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

998 Old Eagle School Rd Ste 1206
Wayne, PA 19087-1805

Mailing address

998 Old Eagle School Rd Ste 1206
Wayne, PA 19087-1805
Phone (610) 710-4024

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Address Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1861049926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 OLD EAGLE SCHOOL RD STE 1206",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871805",
            "telephone_number": "610-710-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 OLD EAGLE SCHOOL RD STE 1206",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871805",
            "telephone_number": "610-710-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOST ALLEN",
        "first_name": "SHINILLE",
        "middle_name": "YVETTE",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Address",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "998 Old Eagle School Rd Ste 1206",
            "city": "Wayne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190871805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.