SHANNON KATHERINE ROUSE (NPI# 1750842555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750842555 |
| Entity Type | Individual |
| Full Name | SHANNON KATHERINE ROUSE |
| Other Name | SHANNON MURPHY |
| Credential | LMFT |
| Practice Address |
635 Main St Middletown CT 06457-2718 |
| Mailing Address |
75 Heather Ln New Britain CT 06053-1917 |
| Practice Telephone | 8603476971 |
| Mailing Telephone | 2035544054 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2035 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1124485420 | Shannon Rouse | Physical Therapist | 3507 W Main St, Erin, TN 37061-4148 | 2016-01-19 |
| Street Address |
635 MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226390 | R. Timothy Kearney | Psychologist | 635 Main St, Middletown, CT 06457-2718 | 2005-06-22 |
| 1316489313 | Maria Teresa Machado | Dental Hygienist | 635 Main St, Middletown, CT 06457-2718 | 2016-11-08 |
| 1528518693 | Tara Nicole Tremblay | Dental Hygienist | 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 | 2016-10-12 |
| 1982960431 | Mandy Sullivan | Counselor | 635 Main St, Middletown, CT 06457-2718 | 2012-04-10 |
| 1083980957 | Christine Foley | Psychologist | 635 Main St, Middletown, CT 06457-2718 | 2012-03-26 |
| 1437435419 | Sandra Dawn Fomenko | Nurse Practitioner | 635 Main St, Middletown, CT 06457-2718 | 2011-10-22 |
| 1770814105 | Luz Hago | Dietitian, Registered | 635 Main St, Middletown, CT 06457-2718 | 2010-01-25 |
| 1598092561 | Julie B Nash | Psychologist | 635 Main St, Middletown, CT 06457-2718 | 2009-11-11 |
| 1073761821 | Nancy Trouern Trend | Registered Nurse | 635 Main St, Middletown, CT 06457-2718 | 2008-09-05 |
| 1447413646 | Kimberly Fournier | Social Worker | 635 Main St, Middletown, CT 06457-2718 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281261 | A Better You Counseling Services | Marriage & Family Therapist | 362 Neverland Dr, Middletown, DE 19709-9947 | 2020-10-07 |
| 1497391502 | Grisel Rivera | Marriage & Family Therapist | 24 Alsace Ter, Middletown, CT 06457-2323 | 2019-11-24 |
| 1962853044 | Building Connections Counseling & Wellness Group, LLC. | Marriage & Family Therapist | 100 Riverview Ctr, 290, Middletown, CT 06457-3401 | 2016-06-29 |
| 1558707471 | Michelle Lee Dicorpo | Marriage & Family Therapist | 769 Newfield St Ste 2, Middletown, CT 06457-1846 | 2013-05-19 |
| 1407192511 | Cynthia Chestnut | Marriage & Family Therapist | 4 Hogan Cir, Middletown, DE 19709-9367 | 2012-12-17 |
| 1609110998 | Mary-kathryn Rodriguez | Marriage & Family Therapist | 4930 Central Ave, Middletown, OH 45044-5425 | 2012-11-27 |
| 1003172131 | Heather Ram | Marriage & Family Therapist | 198 S Main St Fl 2, Middletown, CT 06457 | 2012-04-03 |
| 1891002218 | Michelle Anne Ciak | Marriage & Family Therapist | 954 Newfield St Fl 2, Middletown, CT 06457-1883 | 2010-09-07 |
| 1730221961 | Bonnie J Donady | Marriage & Family Therapist | 11 Poinsettia St, Middletown, CT 06457-4147 | 2007-02-13 |
| 1518004951 | Joy Nicole Pendola | Marriage & Family Therapist | 1250 Silver St, Middletown, CT 06457-3946 | 2007-02-01 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.