NPIMap

Individual provider Active NPI

Kelly Elizabeth Shaughnessy, LPCC

  • Mental Health Counselor
  • Louisville, CO
National Provider Identifier
1467049734
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
287 Century Cir Ste 100D
Louisville, CO 80027-1684
Phone
(720) 295-0578
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

287 Century Cir Ste 100D
Louisville, CO 80027-1684

Mailing address

287 Century Cir Ste 100D
Louisville, CO 80027-1684
Phone (720) 295-0578

Other practice location 1

1450 Daphne St
Broomfield, CO 80020-1121
Phone (303) 999-5828

Other practice location 2

799 US Highway 287 Unit F
Broomfield, CO 80020-0201
Phone (303) 443-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Boulder Counseling PLLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

287 Century Cir
Ste 100D
Louisville, CO 80027
Phone (720) 295-0578

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1467049734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 CENTURY CIR STE 100D",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271684",
            "telephone_number": "720-295-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CENTURY CIR STE 100D",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271684",
            "telephone_number": "720-295-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Daphne St",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201121",
            "country_code": "US",
            "telephone_number": "303-999-5828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 US Highway 287 Unit F",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800200201",
            "country_code": "US",
            "telephone_number": "303-443-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.