Shannon Elizabeth Matlock, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0017231 Issued in CO

Practice address

5245 Centennial Blvd Ste 205
Colorado Springs, CO 80919-4405

Phone

(719) 888-3738

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Overcomers Counseling

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1336967009
  NPD
• Overcomers Counseling

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1568016038
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1023624384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DARBY CIR E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073936",
            "telephone_number": "417-437-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "719-888-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "0017231",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "0016900",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smatlock@uccs.edu",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "address_1": "2175 Academy Cir Ste 200",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809091682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@overcomewithus.com",
            "affiliation": "N",
            "address_1": "5245 Centennial Blvd Ste 205",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809194405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dinah-Lee Mathieu
• Jerry Mathieu
• Madeline L Mathys, MA, LPC
• Sam Matlin, DC
• Jameika Matlock, MS
• Judith Ann Maton, RPH
• Bryan Matson, NCC, LPC
• Jon Matthes, D.D.S
• Matthew C Hansen, DDS, PC
• Matthew Lovato DDS Professional LLC

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.