Individual provider Active NPI

Shelley R. Brannon, LMFT

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1568709533
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0001396 Issued in CO
Practice address
6360 E Mississippi Ave
Denver, CO 80224-1454
Phone
(720) 466-5586
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 0001396 CO Primary

Addresses

Primary practice location

6360 E Mississippi Ave
Denver, CO 80224-1454

Mailing address

6360 E Mississippi Ave
Denver, CO 80224-1454
Phone (720) 466-5586

Other practice location 1

11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Phone (303) 617-2300

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
I20240528002787 CO Practitioner - Marriage and Family Therapist 2062854623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001396COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Balance Counseling LLC Marriage & Family Therapist CurrentSince Apr 24, 2024 Accepting new patients
In Balance Counseling LLC Marriage & Family Therapist CurrentSince Apr 24, 2024 Accepting new patients

Locations

820 S Monaco Pkwy
#522
Denver, CO 80224
Phone (720) 466-5586

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568709533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 E MISSISSIPPI AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241454",
            "telephone_number": "720-466-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 E MISSISSIPPI AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241454",
            "telephone_number": "720-466-5586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11059 E Bethany Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142622",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "SHELLEY",
        "middle_name": "R.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.