Shondra Cizek
Individual provider Active NPI Professional Counselor · Brighton, CO
NPI 1740949239 · NPPES record last updated Dec 11, 2021
Key facts
- NPI
- 1740949239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0014748 (CO)
- Practice address
- 758 S 15TH Ave
Brighton, CO 80601-3622 - Phone
- (303) 995-0504
- NPI assigned
- Dec 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104004043 | CO | Practitioner - Mental Health Counselor | 5597116434 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Stepping Stone, LLC | Professional | Current |
Accepting new patients |
| Mental Health Specialty Group PA | Mental Health | Current |
Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current |
Accepting new patients |
| A Stepping Stone, LLC | Professional | Past | Accepting new patients |
Locations
1560 Broadway
Denver, CO 80202
Phone (623) 363-6103
1560 Broadway
Ste 1600
Denver, CO 80202
Phone (480) 493-0900
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
7720 E Belleview Ave
Ste B300
Greenwood Village, CO 80111
Phone (303) 942-0512
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC.0014748 | CO | Yes |
Addresses
Primary practice location
758 S 15TH Ave
Brighton, CO 80601-3622
Mailing address
758 S 15TH Ave
Brighton, CO 80601-3622
Other providers in Brighton, CO
- Karen Renee Chavez
- Michelle Ann Chavez
- Mariela Chavira
- Children'S Hospital Colorado-Premier Pediatrics, Inc.
- Ming-Lee Chow
- Hilary E Clark
- Laura E Clark
- Vanessa Ruchelle Lucero Clay
- John Gregory Clayton
- April Clements
All providers in Brighton, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.