Edwin Allen Shockney, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3070 Issued in CO

Practice address

1115 Elkton Dr
Suite 107
Colorado Springs, CO 80907-8507

Phone

(719) 577-9958

Fax

(719) 473-5893

NPI assigned

Oct 1, 2009

Last updated

Oct 1, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Shockney and Associates, Inc.

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1457539637
  Authorized official Same address or phone

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1316271844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR",
            "address_2": "SUITE 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078507",
            "telephone_number": "719-577-9958",
            "fax_number": "719-473-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR",
            "address_2": "SUITE 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078507",
            "telephone_number": "719-577-9958",
            "fax_number": "719-473-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKNEY",
        "first_name": "EDWIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L Shive, MA, LPC
• Brigette S Shiveley, LMT
• Sy'Mone Alexis Shivvers
• Kyong A Shock
• Shockney and Associates, Inc.
• Samantha Shofner
• Samantha Sholts, LPC
• Daniel Shonebarger, DO
• Melina Shoni, MD
• John Joseph Shonk Jr., M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.