Organization Active NPI

Grateful Guidance, LLC

  • Mental Health Counselor
  • Colchester, CT
National Provider Identifier
1861256141
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GRATEFUL GUIDANCE, LLC
Practice address
752 Middletown Rd
Colchester, CT 06415-2307
Phone
(860) 334-2088
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Miss Andrea Hyatt Shaker, MA, LPCNPI 1134685514
Title
Owner
Phone
(860) 334-2088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

752 Middletown Rd
Colchester, CT 06415-2307

Mailing address

752 Middletown Rd
Colchester, CT 06415-2307
Phone (860) 334-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403001254 CT Part B Supplier - Clinic/Group Practice 0446698948 Receives reassigned benefits from 1 practitioner
Practice locations: Colchester, CT

National Provider Directory

National Provider Directory

Locations

752 Middletown Rd
Colchester, CT 06415
Phone (203) 626-4913

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1861256141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 MIDDLETOWN RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152307",
            "telephone_number": "860-334-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 MIDDLETOWN RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152307",
            "telephone_number": "860-334-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL GUIDANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "HYATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-334-2088",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.