Individual provider Active NPI

Shatonya Mason, LPCC

  • Mental Health Counselor
  • Aurora, CO
National Provider Identifier
1346928496
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0020850 Issued in CO
Practice address
12101 E 2ND Ave
Aurora, CO 80011-8327
Phone
(720) 331-4878
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADDC.0000352 CO
Mental Health Counselor 101YM0800X LPC.0020850 CO Primary

Addresses

Primary practice location

12101 E 2ND Ave
Aurora, CO 80011-8327

Mailing address

2705 S Danube Way Unit 111
Aurora, CO 80013-6385
Phone (720) 546-8336

Other practice location 1

19750 E Parker Square Dr
Parker, CO 80134-7303
Phone (720) 340-7000

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
I20240829000140 CO Practitioner - Mental Health Counselor 0345789798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turecek PLLC Dba Raft CounselingGroup PAC ID 2769921105, 4 clinicians

Practice addresses (Care Compare)

19750 E Parker Square Dr
Suite 104 105
Parker, CO 80134-7303
Phone (720) 340-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ADDC.0000352COMDAddiction (Substance Use Disorder) Counselor
LPC.0020850COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turecek PLLC Dba Raft Counseling Addiction (Substance Use Disorder) CurrentSince Jun 17, 2024 Accepting new patients

Locations

19750 E Parker Square Dr
Ste 104105
Parker, CO 80134
Phone (720) 340-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1346928496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S DANUBE WAY UNIT 111",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136385",
            "telephone_number": "720-546-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E 2ND AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118327",
            "telephone_number": "720-331-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19750 E Parker Square Dr",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801347303",
            "country_code": "US",
            "telephone_number": "720-340-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "SHATONYA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ADDC.0000352",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.