Christina Joy Shore, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2300 Canyon Blvd Ste 5
Boulder, CO 80302-5619

Phone

(720) 318-9462

NPI assigned

Apr 24, 2019

Sex

Female

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

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• The Postpartum Wellness Center of Boulder

  • Adult Mental Health Clinic/Center
  • Boulder, CO
  • NPI 1043852262
  NPD (past)
• Best Therapies, Inc

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1457995425
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1487218517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 ONEAL CIR APT K30",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011471",
            "telephone_number": "847-571-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CANYON BLVD STE 5",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025619",
            "telephone_number": "720-318-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "CHRISTINA",
        "middle_name": "JOY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Lila Shirazi
• Darby Maryline Shockley, NP
• Molly Carol Shockley, RD
• Mary Shoen
• Thomas E Shonka, DPM
• Shorepeak Psychiatric Services, PLLC
• John A Short, D.D.S.
• Laura B Shove, PT
• Milan Krishna Shrestha, MA
• Earle Shugerman, M.D.

• 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 Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.