SHONTAY RUSS-PHULBAS
NPI 1679234116
Counselor in Hartford, CT

Active since January 06, 2022
999 ASYLUM AVE STE 502, HARTFORD, CT 06105(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shontay Russ-phulbas NPPES

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

SHONTAY RUSS-PHULBAS (NPI 1679234116) is an individual counselor in Hartford, Connecticut and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1679234116
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHONTAY RUSS-PHULBAS
Location Address999 ASYLUM AVE STE 502Hartford, CT 06105-2475
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
NPI 1679234116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
999 ASYLUM AVE STE 502, Hartford, CT 06105

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
999 ASYLUM AVE STE 502
HARTFORD, CT 06105
Counselor (Mental Health)
999 ASYLUM AVE STE 502
HARTFORD, CT 06105
Social Worker
999 ASYLUM AVE STE 502
HARTFORD, CT 06105
Social Worker
999 ASYLUM AVE STE 502
HARTFORD, CT 06105
Licensed Practical Nurse
999 ASYLUM AVE STE 502
HARTFORD, CT 06105
Social Worker (Clinical)
999 ASYLUM AVE STE 502
HARTFORD, CT 06105
Licensed Practical Nurse
999 ASYLUM AVE STE 502
HARTFORD, CT 06105
Counselor
999 ASYLUM AVE STE 502
HARTFORD, CT 06105

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 Shontay Russ-phulbas's NPI number?

The NPI number for Shontay Russ-phulbas is 1679234116. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Shontay Russ-phulbas located?

Shontay Russ-phulbas practices at 999 Asylum Ave Ste 502, Hartford, CT 06105. The listed phone number is (860) 731-5522.

What is Shontay Russ-phulbas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shontay Russ-phulbas was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.