LAUREN SHAPOVALOVA
NPI 1114810009
Counselor - Mental Health in Staten Island, NY

Active since May 30, 2025
169 MAIN ST, STATEN ISLAND, NY 10307(347) 733-9964 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2026, May 30, 2025 (2 updates tracked since 2025).

About Lauren Shapovalova NPPES

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

LAUREN SHAPOVALOVA (NPI 1114810009) is an individual mental health provider in Staten Island, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1114810009
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAUREN SHAPOVALOVA
Location Address169 MAIN STStaten Island, NY 10307-1261
Mailing Address4077 Hylan Blvd # 10Staten Island, NY 10308-3334 · (908) 977-6726
Sole ProprietorNo
Enumeration DateMay 30, 2025
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1114810009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
169 MAIN ST, Staten Island, NY 10307

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
169 MAIN ST
STATEN ISLAND, NY 10307
Counselor (Mental Health)
169 MAIN ST
STATEN ISLAND, NY 10307
Counselor (Mental Health)
169 MAIN ST
STATEN ISLAND, NY 10307
Counselor (Mental Health)
169 MAIN ST
STATEN ISLAND, NY 10307
Counselor (Mental Health)
169 MAIN ST
STATEN ISLAND, NY 10307

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 Lauren Shapovalova's NPI number?

The NPI number for Lauren Shapovalova is 1114810009. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Lauren Shapovalova located?

Lauren Shapovalova practices at 169 Main St, Staten Island, NY 10307. The listed phone number is (347) 733-9964.

What is Lauren Shapovalova's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lauren Shapovalova was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.