Organization Active NPI

Shen Counseling, LLC

  • Professional Counselor
  • Fairfield, CT
National Provider Identifier
1952881690
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003466 Issued in CT
Legal business name
SHEN COUNSELING, LLC
Practice address
263 Mill River Rd
Fairfield, CT 06824-2958
Phone
(203) 449-8888
NPI assigned
Aug 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Jian Shen, LPC
Title
Owner
Phone
(203) 449-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 003466 CT Primary

Addresses

Primary practice location

263 Mill River Rd
Fairfield, CT 06824-2958

Mailing address

263 Mill River Rd
Fairfield, CT 06824-2958
Phone (203) 449-8888

Other identifiers 1

IdentifierTypeStateIssuer
004069985MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1952881690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 MILL RIVER RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068242958",
            "telephone_number": "203-449-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MILL RIVER RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068242958",
            "telephone_number": "203-449-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "JIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-449-8888",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069985",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.