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SUJEONG SHIN COUNSELING, PLLC
NPI 1114570702
Social Worker - Clinical in Exeter, NH

Active since July 22, 2019
24 FRONT ST STE G10, EXETER, NH 03833(603) 583-2764 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2019, Jul 22, 2019 (2 updates tracked since 2019).

About Sujeong Shin Counseling, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJEONG SHIN COUNSELING, PLLC (NPI 1114570702) is a healthcare organization registered as a clinical in Exeter, New Hampshire and active in the NPI registry since July 2019. The organization lists Sujeong Shin, Owner, as its authorized official.

NPPES Registry Identity

NPI1114570702
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSUJEONG SHIN COUNSELING, PLLC
Location Address24 FRONT ST STE G10Exeter, NH 03833-2727
Mailing Address113 High StExeter, NH 03833-2927 · (603) 772-6425
Phone(603) 583-2764
Organization SubpartNo
Authorized OfficialSujeong ShinOwner · (603) 413-0558
Enumeration DateJuly 22, 2019
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
✔ NPI 1114570702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
24 FRONT ST STE G10, Exeter, NH 03833
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sujeong Shin Counseling, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sujeong Shin Counseling, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sujeong Shin, LICSW
Clinical Social Worker
NPI 1780163493
2013 ELM ST
Manchester, NH 03104
(603) 627-2702
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujeong Shin Counseling, PLLC's NPI number?

The NPI number for Sujeong Shin Counseling, PLLC is 1114570702. It was assigned to this organization in the NPPES registry on July 22, 2019.

Where is Sujeong Shin Counseling, PLLC located?

Sujeong Shin Counseling, PLLC is located at 24 Front St Ste G10, Exeter, NH 03833. The listed phone number is (603) 583-2764.

What is Sujeong Shin Counseling, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sujeong Shin Counseling, PLLC enrolled in Medicare?

Yes. Sujeong Shin Counseling, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sujeong Shin Counseling, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sujeong Shin Counseling, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sujeong Shin Counseling, PLLC accept?

Health plans from Ambetter from NH Healthy Families list Sujeong Shin Counseling, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sujeong Shin Counseling, PLLC was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.