Active NPI
James Shanahan
- Community Health Worker
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 117 W 400 S
Salt Lake City, UT 84101-1916 - Phone
- (801) 428-4257
- NPI assigned
- Oct 3, 2017
- Last updated
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | CO | ||
| Community Health Worker | 172V00000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
117 W 400 S
Salt Lake City, UT 84101-1916
Mailing address
4141 E Dickenson PL
Denver, CO 80222-6012
Phone (303) 504-6500
Other practice location 1
4455 E 12th Ave
Denver, CO 80220-2415
Phone (303) 504-7700
Other practice location 2
37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone (541) 747-1235
Other practice location 3
1455 Dixon Ave
Lafayette, CO 80026
Phone (303) 443-8500
Other practice location 4
1455 Dixon Ave
Lafayette, CO 80026
Phone (303) 443-8500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper Mountain | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Jasper, OR
- NPI 1497821680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1275043374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 E DICKENSON PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802226012",
"telephone_number": "303-504-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W 400 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841011916",
"telephone_number": "801-428-4257"
}
],
"practiceLocations": [
{
"address_1": "4455 E 12th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802202415",
"country_code": "US",
"telephone_number": "303-504-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37875 Jasper Lowell Rd",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "OR",
"postal_code": "974389751",
"country_code": "US",
"telephone_number": "541-747-1235",
"fax_number": "541-747-4722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1455 Dixon Ave",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "80026",
"country_code": "US",
"telephone_number": "303-443-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1455 Dixon Ave",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "80026",
"country_code": "US",
"telephone_number": "303-443-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANAHAN",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-03",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.