Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jennifer Wyckoff Shore, LMHC

Individual provider Mental Health Counselor · NPI 1164794053

Mrs. Jennifer Wyckoff Shore, LMHC is a Mental Health Counselor in Centerport, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

31 Harbor Park Dr
Centerport, NY 11721-1623
Phone: (631) 261-2692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005020 (NY)

Record details

NPI number1164794053
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedFebruary 7, 2012
Last updated in NPPESFebruary 7, 2012

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