Brooke Shaffer, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0019591 Issued in CO

Practice address

75 Manhattan Dr Ste 208E
Boulder, CO 80303-4254

Phone

(682) 800-2738

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1457196057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 S TAFT CT",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279519",
            "telephone_number": "609-558-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR STE 208E",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034254",
            "telephone_number": "682-800-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "BROOKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0019591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin David Sessa, D.D.S.
• Ellen Sevigny, MA
• Andrew Durham Sewell, D.D.S.
• Mary F Shackelton, N.D.
• Shadow Mountain Mental Health
• William R. Shaffer, M.D.
• Derrick Shain, PSYCHOTHERAPIST
• Deborah Shainblum, MSW
• Amit Shakya
• Gil Shalit, LPC

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.