Individual provider Active NPI

Jenifer Shott, LPC

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1255784534
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015419 Issued in CO
Practice address
6565 W Jewell Ave Ste 2
Lakewood, CO 80232-7102
Phone
(720) 900-5358
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 LPCC.0014752 CO
Mental Health Counselor 101YM0800X LPC.0015419 CO Primary

Addresses

Primary practice location

6565 W Jewell Ave Ste 2
Lakewood, CO 80232-7102

Mailing address

6565 W Jewell Ave Ste 2
Lakewood, CO 80232-7102
Phone (720) 900-5358

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

LicenseStateTypeSpecialty
LPC.0015419COMDMental Health Counselor
LPCC.0014752COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1255784534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE STE 2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327102",
            "telephone_number": "720-900-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE STE 2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327102",
            "telephone_number": "720-900-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTT",
        "first_name": "JENIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0014752",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.