Individual provider Active NPI

Whitney Sherraden, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1073495073
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0022468 Issued in CO
Practice address
1283 Kelly Johnson Blvd Ste 200
Colorado Springs, CO 80920-3925
Phone
(719) 413-6776
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0022468 CO Primary

Addresses

Primary practice location

1283 Kelly Johnson Blvd Ste 200
Colorado Springs, CO 80920-3925

Mailing address

1283 Kelly Johnson Blvd Ste 200
Colorado Springs, CO 80920-3925
Phone (719) 413-6776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001002757 CO Practitioner - Mental Health Counselor 8325544091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1283 Kelly Johnson Blvd
Suite 200
Colorado Springs, CO 80920-3925

509 Chatfield Dr
Colorado Springs, CO 80911-1709

6305 Rocky Bluff PT
Apt 304
Colorado Springs, CO 80918-6240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0022468COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurofeedback Colorado Springs, Inc. Professional CurrentSince Aug 1, 2025 Accepting new patients
Neurofeedback Colorado Springs, Inc. PastSince Jul 28, 2025 Accepting new patients
Fellow Travelers LLC Past Accepting new patients

Locations

1283 Kelly Johnson Blvd
Ste 200
Colorado Springs, CO 80920
Phone (719) 413-6776

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1073495073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 KELLY JOHNSON BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203925",
            "telephone_number": "719-413-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 KELLY JOHNSON BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203925",
            "telephone_number": "719-413-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRADEN",
        "first_name": "WHITNEY",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0022468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.