Elemental Shift LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ELEMENTAL SHIFT LLC

Doing business as

Elemental Shift LLC

Practice address

34 Forrester Street
Salem, MA 01970

Phone

(207) 671-4325

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Kirsten Jettinghoff, LMHCNPI 1750476586

Title

Owner

Phone

(207) 671-4325

Specialties & licenses 1

Addresses

Other names 1

• Elemental Shift LLC Doing business as

Practitioners 1

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

• Kirsten Louise Jettinghoff, L.C.P.C.

  • Professional Counselor
  • Falmouth, ME
  • NPI 1750476586
  NPD Authorized official

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1992418446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WASHINGTON ST STE 181",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703607",
            "telephone_number": "207-671-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FORRESTER STREET",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "207-671-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL SHIFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "JETTINGHOFF",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-671-4325",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elemental Shift LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Kate Eisenman, MSW, LSW
• Richard Stuart Eisner, D.P.M.
• Zannat Ekram, D.O
• Mohamad El-Jammal, MD
• Charity Ifeoma Eleazu
• Elena Siniaver, DMD PC
• Elaina Elias, LCSW
• Michael Elkin, LMFT
• Susan Elliott, LICSW
• Barbara Elser, MSW

• Adult Mental Health Clinic/Center in Salem, MA
• Providers in Salem, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.