Shakirah C Hemstrom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3704 Issued in CO

Practice address

216 1St St
Unit F
Eaton, CO 80615-3477

Phone

(970) 302-4667

NPI assigned

Sep 30, 2010

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Colorado Plains Counseling, LLC

  • Professional Counselor
  • Eaton, CO
  • NPI 1467466714
  NPD (past) Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1124337779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1082",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806101082",
            "telephone_number": "970-302-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 1ST ST",
            "address_2": "UNIT F",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153477",
            "telephone_number": "970-302-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMSTROM",
        "first_name": "SHAKIRAH",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636875",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ellie Marie Hess, PT, DPT
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• James Henry Kennedy, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.