Amy Shull LPC LMFT

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMY SHULL LPC LMFT

Practice address

300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154

Phone

(650) 504-0539

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy ShullNPI 1124244751

Title

Owner

Phone

(650) 504-0539

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Lynne Shull, MFT

  • Marriage & Family Therapist
  • Fort Collins, CO
  • NPI 1124244751
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1164033023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "650-504-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "650-504-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY SHULL LPC LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-504-0539"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rose Amschwand, MSW, SW-C
• Benu Amun-Ra
• Erin Nicole Amundsen, OT
• Amy Graver Beers LLC
• Amy McDaniel Molina, LLC
• An Enduring Love, Co
• An Enduring Love, Co
• Treanna Iris Anastasia, APN, WHNP, RN
• Anderson Family Chiropractic, P.C.
• Robin Anderson Kepler, MS LMFT

• Community/Behavioral Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.