Active NPI
Amy Shenk, LPCC
- Mental Health Counselor
- Northglenn, CO
National Provider Identifier
1619404050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0015319
- Practice address
- 10465 Melody Dr Ste 313
Northglenn, CO 80234-4126 - Phone
- (720) 336-1557
- NPI assigned
- May 16, 2017
- Last updated
- May 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0015319 | CO | Primary |
Addresses
Primary practice location
10465 Melody Dr Ste 313
Northglenn, CO 80234-4126
Mailing address
3174 Fenton St
Wheat Ridge, CO 80214-8120
Phone (936) 661-0867
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015319 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1619404050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3174 FENTON ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802148120",
"telephone_number": "936-661-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10465 MELODY DR STE 313",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344126",
"telephone_number": "720-336-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENK",
"first_name": "AMY",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0015319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
- Daniel Lee Shadrick, DPM
- Marzieh Shafie, DMD
- Melissa Shanley
- Alexis Sharp
- Rebekah Ella Rose Shelton
- Ken Shropshire, MT
- Eduardo M Sia III, DPT
- Sidewinder Healthcare, Inc. (Malley Transitional Care Center)
- Sidewinder Healthcare, Inc. (Malley Transitional Care Center)
- Sidewinder Healthcare, Inc. (Malley Transitional Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.