Individual provider Active NPI

Sandeep Shankar, PH.D., LPC, LAC

  • Mental Health Counselor
  • Highlands Ranch, CO
National Provider Identifier
1093269987
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0018328 Issued in CO
Practice address
10362 Kelliwood Way
Highlands Ranch, CO 80126-8863
Phone
(720) 212-6504
NPI assigned
Aug 8, 2016
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 001563 CO
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0018328 CO Primary

Addresses

Primary practice location

10362 Kelliwood Way
Highlands Ranch, CO 80126-8863

Mailing address

10362 Kelliwood Way
Highlands Ranch, CO 80126-8863
Phone (720) 212-6504

Other practice location 1

5250 Leetsdale Dr
Denver, CO 80246-1438
Phone (720) 212-6504

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001563COMDAddiction (Substance Use Disorder) Counselor
0018328COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for Humanity Addiction (Substance Use Disorder) Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandeep.shankar.1@22647.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1093269987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 KELLIWOOD WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268863",
            "telephone_number": "720-212-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10362 KELLIWOOD WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268863",
            "telephone_number": "720-212-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Leetsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461438",
            "country_code": "US",
            "telephone_number": "720-212-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "001563",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0018328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.