Active NPI
Shauna J Cavalli, MA
- Mental Health Counselor
- Longmont, CO
National Provider Identifier
1043656259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 500 Coffman St
Suite 114
Longmont, CO 80501-5451 - Phone
- (720) 557-7720
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
500 Coffman St
Suite 114
Longmont, CO 80501-5451
Mailing address
500 Coffman St
Suite 114
Longmont, CO 80501-5451
Phone (720) 557-7720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1043656259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 COFFMAN ST",
"address_2": "SUITE 114",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015451",
"telephone_number": "720-557-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COFFMAN ST",
"address_2": "SUITE 114",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015451",
"telephone_number": "720-557-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALLI",
"first_name": "SHAUNA",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.