Individual provider Active NPI

Shelby Nolan, LPCC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1124529342
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2121 S Oneida St Ste 600
Denver, CO 80224-2555
Phone
(720) 863-6100
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

2121 S Oneida St Ste 600
Denver, CO 80224-2555

Mailing address

14500 Blanco Rd Apt 516
San Antonio, TX 78216-7872
Phone (936) 645-5101

Other practice location 1

14235 Blanco Rd
San Antonio, TX 78216-7718
Phone (210) 415-9626

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
I20240705000956 CO Practitioner - Mental Health Counselor 1850835521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Higher Sights CounselingGroup PAC ID 1153747613, 38 clinicians

Practice addresses (Care Compare)

5353 W Dartmouth Ave
Suite 305
Denver, CO 80227-5515

5353 W Dartmouth Ave
Suite 305
Denver, CO 80227-5517
Phone (720) 943-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Sights Counseling Mental Health CurrentSince Jun 25, 2024 Accepting new patients
A Divergent Lens Counseling, LLC Mental Health Current Accepting new patients
Mind Body Sport, LLC PastSince May 1, 2022 Accepting new patients
Blossom Center for Children LLC Past Accepting new patients

Locations

8805 W 14th Ave
Ste 300
Lakewood, CO 80215
Phone (720) 470-0382

5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050

9201 W 44th Ave
Wheat Ridge, CO 80033
Phone (720) 551-4269

Organizations & group practices 4

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1124529342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BLANCO RD APT 516",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167872",
            "telephone_number": "936-645-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242555",
            "telephone_number": "720-863-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14235 Blanco Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782167718",
            "country_code": "US",
            "telephone_number": "210-415-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "SHELBY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.