UKASHAH SHABAZZ LPC
NPI 1174417109
Counselor - Professional in Salisbury, CT

Active since June 04, 2025PECOS Enrolled
251 CANAAN RD, SALISBURY, CT 06068(973) 592-9783 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ukashah Shabazz Lpc NPPES

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

UKASHAH SHABAZZ LPC (NPI 1174417109) is an individual professional provider in Salisbury, Connecticut, licensed in Connecticut (8489) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174417109
Entity TypeIndividual
Primary Taxonomy101YP2500X
Provider Legal NameUKASHAH SHABAZZCredential: LPC
Location Address251 CANAAN RDSalisbury, CT 06068-1602
Mailing Address251 Canaan RdSalisbury, CT 06068-1602 · (973) 592-9783
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
NPI 1174417109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 8489
251 CANAAN RD, Salisbury, CT 06068

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ukashah Shabazz Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244739548
PECOS Enrollment IDI20250814003490
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Specialist/Technologist (Athletic Trainer)
251 CANAAN RD
SALISBURY, CT 06068
Specialist/Technologist (Athletic Trainer)
251 CANAAN RD
SALISBURY, CT 06068
Nurse Practitioner
251 CANAAN RD
SALISBURY, CT 06068
Nurse Practitioner (Adult Health)
251 CANAAN RD
SALISBURY, CT 06068

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 Ukashah Shabazz's NPI number?

The NPI number for Ukashah Shabazz is 1174417109. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Ukashah Shabazz located?

Ukashah Shabazz practices at 251 Canaan Rd, Salisbury, CT 06068. The listed phone number is (973) 592-9783.

What is Ukashah Shabazz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ukashah Shabazz enrolled in Medicare?

Yes. Ukashah Shabazz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ukashah Shabazz was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.