Individual provider Active NPI

Shirley Marie Vega Rodriguez, LPC

  • Professional Counselor
  • Parker, CO
National Provider Identifier
1295459162
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.18806 Issued in CO
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

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

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

LicenseStateTypeSpecialty
LPC.18806COMDProfessional Counselor
004086PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Mar 24, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 19, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Mar 24, 2025 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.

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

Verify at the official NPI Registry.