Sheryl Stubbs, MA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0000895 Issued in CO

Practice address

12055 W 2ND PL Ste 80
Lakewood, CO 80228-1506

Phone

(303) 425-0300

NPI assigned

Oct 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Center for Mental HealthGroup PAC ID 9032018882, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Jefferson Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wheat Ridge, CO
  • NPI 1154403798

  CO

  Medicare reassignment Care Compare group NPD
• New Trail Counseling

  • Community/Behavioral Health Agency
  • Lakewood, CO
  • NPI 1245716695
  NPD Authorized official
• Jefferson Center for Mental Health

  • Pharmacy
  • Wheat Ridge, CO
  • NPI 1013373679
  Care Compare group
• Jefferson Center for Mental Health

  • Community/Retail Pharmacy
  • Lakewood, CO
  • NPI 1861574642
  NPD

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1154792547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12055 W 2ND PL STE 80",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281506",
            "telephone_number": "303-425-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 W 2ND PL STE 80",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281506",
            "telephone_number": "303-425-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "SHERYL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014639",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jean Struckmeyer, CNM, WHNP
• Structured Wellness P.C.
• Stuart S. Kassan, M.D., F.a.C.P., P.C.
• Bethany Stuart
• James Brad Stubbs, MSW
• Rosanne M Stuby
• Mary Elizabeth Stults, P.A.-C
• Christina Maria Suarez
• Vijay D Subbarao, M.D.
• Suite 305 LLC

• All providers in Lakewood, CO
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.