Active NPI
Shirley Marie Vega Rodriguez, LPC
- Professional Counselor
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.18806
- Practice address
- 9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048 - Phone
- (303) 269-4410
- Fax
- (303) 269-4411
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 004086 | PR | |
| Professional Counselor | 101YP2500X | LPC.18806 | CO | Primary |
Addresses
Primary practice location
9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048
Mailing address
9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048
Phone (303) 269-4410
Other practice location 1
9360 Station St Ste 400
Lone Tree, CO 80124-6811
Phone (719) 540-2146
Other names 1
- Shirley Marie Perciavalle Vega
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627004298 | CO | Practitioner - Mental Health Counselor | 2264976521 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15901 E Briarwood Cir
200 CSNH Primary Care
Aurora, CO 80016-1785
Phone (303) 269-2626
15901 E Briarwood Cir Unit
200 CSNH Womens Health
Aurora, CO 80016-1785
Phone (720) 851-8230
2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797
9403 Crown Crest Blvd
Suite 300
Parker, CO 80138-9048
Phone (303) 770-0500
9403 Crown Crest Blvd 300 ENT
Etpk ENT PKR
Parker, CO 80138-9048
Phone (720) 274-2544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.18806 | CO | MD | Professional Counselor |
| 004086 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
15901 E Briarwood Cir
Unit 200
Aurora, CO 80016
Phone (303) 269-2626
2450 S Peoria St
Ste 248
Aurora, CO 80014
Phone (303) 752-7747
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
9403 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 269-4410
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
Organizations & group practices 5
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.
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- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1295459162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9403 CROWN CREST BLVD STE 300",
"city": "PARKER",
"state": "CO",
"postal_code": "801389048",
"telephone_number": "303-269-4410",
"fax_number": "303-269-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 CROWN CREST BLVD STE 300",
"city": "PARKER",
"state": "CO",
"postal_code": "801389048",
"telephone_number": "303-269-4410",
"fax_number": "303-269-4411"
}
],
"practiceLocations": [
{
"address_1": "9360 Station St Ste 400",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801246811",
"country_code": "US",
"telephone_number": "719-540-2146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEGA RODRIGUEZ",
"first_name": "SHIRLEY",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "004086",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.18806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEY",
"last_name": "PERCIAVALLE VEGA",
"middle_name": "MARIE",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.