UKASHAH SHABAZZ LPC
NPI 1174417109
Counselor - Professional in Salisbury, CT
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.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ukashah Shabazz Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ukashah Shabazz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Connecticut enrollment
- 613 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SALISBURY, CT 06068
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.
Which organization bills Medicare for Ukashah Shabazz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ukashah Shabazz reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Ukashah Shabazz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ukashah Shabazz accept?
Health plans from Anthem Blue Cross and Blue Shield list Ukashah Shabazz 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 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 16 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.
# Ukashah Shabazz, LPC · NPI 1174417109
Professional provider in Salisbury, Connecticut. Individual provider, active in the CMS NPPES registry since June 4, 2025.
## Identity
- **NPI:** 1174417109 (Entity type: Individual)
- **Enumerated:** June 4, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8489 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 251 CANAAN RD, Salisbury, CT 06068-1602
- **Phone:** (973) 592-9783
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1174417109) · Data from the CMS NPPES public registry.