MARY KINSELLA-SHAW MA LPC NPI 1639409360

NPI Information

  • NPI: 1639409360
  • Provider Name: MARY KINSELLA-SHAW, MA, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 189 STORRS RD
    MANSFIELD CENTER, CT
    ZIP 06250
  • Phone: (860) 456-1311

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NPI Details

Mary Kinsella-shaw, MA, LPC is a professional counselor in Mansfield Center, CT. Mary Kinsella-shaw, MA, LPC NPI is 1639409360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

189 STORRS RD
MANSFIELD CENTER, CT
ZIP 06250-683
Phone: (860) 456-1311
Fax: (860) 456-0164

The enumeration date for this NPI number is 12/31/2009 and was last updated on 12/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional000168CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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