Harbor Shore Wellness PLLC
NPI 1104520840 · Clinical Social Worker · Kenosha, WI
Harbor Shore Wellness PLLC is a Clinical Social Worker organization in Kenosha, WI (NPI 1104520840).
Provider details
- NPI number
- 1104520840
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Rocha, Psychotherapist(262) 358-3592
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Harbor Shore Wellness
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-08
Frequently asked questions
- What is Harbor Shore Wellness PLLC's NPI number?
- Harbor Shore Wellness PLLC's National Provider Identifier (NPI) is 1104520840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Harbor Shore Wellness PLLC?
- Harbor Shore Wellness PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Harbor Shore Wellness PLLC located?
- Harbor Shore Wellness PLLC's practice location on file with NPPES is 8114 41st Ave, Kenosha, WI 53142.
- What is Harbor Shore Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Harbor Shore Wellness PLLC is (262) 358-3592.
- Who is the authorized official for Harbor Shore Wellness PLLC?
- The authorized official listed on Harbor Shore Wellness PLLC's NPPES record is John Rocha, Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Harbor Shore Wellness PLLC's NPI active?
- Yes — Harbor Shore Wellness PLLC's NPI (1104520840) is active in the NPPES registry as of the last update on 2023-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.