Amy Lynne Shull, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1500 Issued in CO

Practice address

1006 Robertson St Ste 110
Fort Collins, CO 80524-3948

Phone

(650) 504-0539

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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.

• Amy Shull LPC LMFT

  • Community/Behavioral Health Agency
  • Fort Collins, CO
  • NPI 1164033023

  CO

  Medicare reassignment NPD Authorized official

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2025.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1124244751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 BALLYNEAL DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242862",
            "telephone_number": "650-504-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 ROBERTSON ST STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243948",
            "telephone_number": "650-504-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "14371",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62984853",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoshanna K. Shachtman, Ed.D, LPC, NCC
• Rebecca Shtulman, PH.D.
• Stephanie Shugart, MSOTR
• Christine Shukis, OD
• McKenna Shuler, RBT
• Lauren Shulman
• Alex James Shulta
• Nicholas David Shumaker, DDS, MS
• Audrey Shumate
• Pam Sica, M.A., LPC, ATR

• All providers in Fort Collins, CO
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.