SHELLY MARSHALL (NPI# 1720334600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720334600 |
| Entity Type | Individual |
| Full Name | SHELLY MARSHALL |
| Credential | LCSE |
| Practice Address |
1516 Atwood Ave Johnston RI 02919-3223 |
| Mailing Address |
45 Greenway Dr Bristol RI 02809-4209 |
| Practice Telephone | 4015531000 |
| Practice Fax Number | 4017225280 |
| Mailing Telephone | 4018624335 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | GH57134 | 05 |
| Street Address |
1516 ATWOOD AVE |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144287491 | John D Bomford | Social Worker | 1516 Atwood Ave, Johnston, RI 02919 | 2006-04-28 |
| 1588115638 | Catherine Young | Occupational Therapy Assistant | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2016-10-24 |
| 1912458043 | Lee Disalvia Mcweeney | Specialist | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2016-10-24 |
| 1003361411 | Jennie Moran | Case Manager/Care Coordinator | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2016-08-16 |
| 1568917953 | Abigail Waite | Case Manager/Care Coordinator | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2016-08-16 |
| 1033561337 | Sarah Jane Pimenta | Behavioral Analyst | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2016-07-11 |
| 1164886560 | The Autism Project | Case Management | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2016-04-12 |
| 1720400609 | Emmi Schultz | Counselor | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2014-01-13 |
| 1003151457 | Michele Wilson | Counselor | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2012-12-11 |
| 1750637476 | Melony Bucci | Counselor | 1516 Atwood Ave, Johnston, RI 02919-3223 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960565 | Courtney Hills | Counselor | 8 Cady St, Johnston, RI 02919-1486 | 2016-09-14 |
| 1881977247 | Youth Homes of Mid-america Therapy Services, LLC | Counselor | 7085 Nw Beaver Dr, Johnston, IA 50131-1249 | 2011-09-22 |
| 1285913731 | Denise J Rodriguez | Counselor | 2013 Plainfield Pike, Suite C, Johnston, RI 02919-5723 | 2011-08-15 |
| 1295370021 | Alexandra Berenis | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2019-11-15 |
| 1366901225 | Charita Althenor | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2019-03-19 |
| 1174061386 | Michele Rainville Pelletier | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2017-02-08 |
| 1467996835 | Kendra Allen | Counselor | 7085 Nw Beaver Dr, Johnston, IA 50131-1249 | 2016-12-05 |
| 1679966337 | Francia Fung | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2015-03-05 |
| 1407269095 | Damien Lima | Counselor | 1974 Atwood Ave, Johnston, RI 02919-3230 | 2014-06-11 |
| 1427460484 | Christian Jackson | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2014-05-27 |
| Find all providers in JOHNSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.