Individual provider Active NPI

Amanda Shifreen, M.S.

  • Professional Counselor
  • Hartford, CT
National Provider Identifier
1982094264
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005845 Issued in CT
Practice address
660 Prospect Ave
Hartford, CT 06105-4230
Phone
(860) 559-9231
NPI assigned
Jan 26, 2015
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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
Professional Counselor 101YP2500X 005845 CT Primary

Addresses

Primary practice location

660 Prospect Ave
Hartford, CT 06105-4230

Mailing address

998 Farmington Ave Ste 207
West Hartford, CT 06107-2184

Other practice location 1

998 Farmington Ave Ste 207
West Hartford, CT 06107-2184
Phone (860) 559-9231

Other practice location 2

74 East St
Plainville, CT 06062-2367
Phone (860) 793-4200

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

State licenses

LicenseStateTypeSpecialty
005845CTMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: amanda.shifreen.p1@direct.wheelerclinic.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1982094264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 FARMINGTON AVE STE 207",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054230",
            "telephone_number": "860-559-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Farmington Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061072184",
            "country_code": "US",
            "telephone_number": "860-559-9231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 East St",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "CT",
            "postal_code": "060622367",
            "country_code": "US",
            "telephone_number": "860-793-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFREEN",
        "first_name": "AMANDA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "005845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.