Individual provider Active NPI

Shawn B Whitney, M.S., LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1427299643
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1156 Issued in CO
Practice address
1136 E Stuart St
Suite 3120
Fort Collins, CO 80525-1195
Phone
(970) 999-4499
Fax
(970) 461-2462
NPI assigned
Mar 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60064088 WA
Marriage & Family Therapist 106H00000X 1156 CO Primary

Addresses

Primary practice location

1136 E Stuart St
Suite 3120
Fort Collins, CO 80525-1195

Mailing address

1136 E Stuart St
Suite 3120
Fort Collins, CO 80525-1195
Phone (970) 999-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LF60064088WAMDMarriage & Family Therapist
1156COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1427299643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "address_2": "SUITE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251195",
            "telephone_number": "970-999-4499",
            "fax_number": "970-461-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "address_2": "SUITE 3120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251195",
            "telephone_number": "970-999-4499",
            "fax_number": "970-461-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "SHAWN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60064088",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.