Trever Shirin

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0017540 Issued in CO

Practice address

6180 Lehman Dr Ste 100
Colorado Springs, CO 80918-3415

Phone

(719) 208-9212

NPI assigned

Jun 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayfield Counseling CentersGroup PAC ID 9739427352, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mayfield Counseling Centers

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1588166144
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1205452042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7791 MANISTIQUE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237453",
            "telephone_number": "719-208-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 LEHMAN DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183415",
            "telephone_number": "719-208-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRIN",
        "first_name": "TREVER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0017540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla M Shipley
• Neal Allen Shipley
• Ershad Shirazi
• Molly Shireman, M.A., BCBA
• Julia Ann Shirin
• Leslie Shirkey
• Shirley D. Robbins Psy,D LPC
• Lauren Shirley
• Lisa Megumi Shishkin
• Donald L Shive, MA, LPC

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.