Individual provider Active NPI

Shauna Roubidoux, LPC

  • Professional Counselor
  • Castle Rock, CO
National Provider Identifier
1700263795
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2355 Mercantile St Unit 1335
Castle Rock, CO 80109-3975
Phone
(720) 753-5710
NPI assigned
Apr 29, 2015
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0013959 CO
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2355 Mercantile St Unit 1335
Castle Rock, CO 80109-3975

Mailing address

2355 Mercantile St Unit 1335
Castle Rock, CO 80109-3975
Phone (720) 308-1774

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
I20240104000255 CO Practitioner - Mental Health Counselor 6800247842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

9135 Ridgeline Blvd
Suite 160
Highlands Ranch, CO 80129-2395
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0013959COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Professional CurrentSince Jun 16, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Jun 16, 2025 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1700263795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 MERCANTILE ST UNIT 1335",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093975",
            "telephone_number": "720-308-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 MERCANTILE ST UNIT 1335",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093975",
            "telephone_number": "720-753-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUBIDOUX",
        "first_name": "SHAUNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0013959",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.