Active NPI
Shalonda T Haggerty
- Mental Health Counselor
- Aurora, CO
National Provider Identifier
1144710450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NLC.0105278
- Practice address
- 2360 Dayton St
Aurora, CO 80010-1014 - Phone
- (972) 515-5600
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC.0105278 | CO | Primary |
Addresses
Primary practice location
2360 Dayton St
Aurora, CO 80010-1014
Mailing address
10758 Wheeling Dr
Commerce City, CO 80022-7026
Phone (972) 515-5600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0105278 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Girlz Empowerment, Inc. | Mental Health | Current | Accepting new patients |
Locations
2360 Dayton St
Aurora, CO 80010
Phone (720) 583-5951
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1144710450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10758 WHEELING DR",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800227026",
"telephone_number": "972-515-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 DAYTON ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800101014",
"telephone_number": "972-515-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERTY",
"first_name": "SHALONDA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0105278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.