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MRS. JENNIFER WYCKOFF SHORE LMHC
NPI 1164794053
Counselor - Mental Health in Centerport, NY

Active since February 07, 2012
31 HARBOR PARK DR, CENTERPORT, NY 11721(631) 261-2692 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer Wyckoff Shore Lmhc NPPES

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

MRS. JENNIFER WYCKOFF SHORE LMHC (NPI 1164794053) is an individual mental health provider in Centerport, New York, licensed in New York (005020) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1164794053
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER WYCKOFF SHORECredential: LMHC
Location Address31 HARBOR PARK DRCenterport, NY 11721-1623
Mailing Address31 Harbor Park DrCenterport, NY 11721-1623 · (631) 261-2692
Phone(631) 261-2692
Sole ProprietorNo
Enumeration DateFebruary 7, 2012
✔ NPI 1164794053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 005020
31 HARBOR PARK DR, Centerport, NY 11721
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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 Jennifer Shore's NPI number?

The NPI number for Jennifer Shore is 1164794053. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Jennifer Shore located?

Jennifer Shore practices at 31 Harbor Park Dr, Centerport, NY 11721. The listed phone number is (631) 261-2692.

What is Jennifer Shore'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 Jennifer Shore was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.