Individual provider Active NPI

Shannon Danielle Faltak, MS

  • Professional Counselor
  • Littleton, CO
National Provider Identifier
1750784369
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014470 Issued in CO
Practice address
6509 S Santa Fe Dr
Littleton, CO 80120-2910
Phone
(303) 730-8858
NPI assigned
Sep 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC.0014470 CO Primary

Addresses

Primary practice location

6509 S Santa Fe Dr
Littleton, CO 80120-2910

Mailing address

1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500

Other practice location 1

1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500

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
I20231222001094 CO Practitioner - Mental Health Counselor 5395195911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arapahoe Mental Health Center IncGroup PAC ID 7315850708, 126 clinicians

Practice addresses (Care Compare)

6509 S Santa Fe Dr
Littleton, CO 80120-2910
Phone (303) 730-8858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1750784369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "303-443-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 S SANTA FE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202910",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Iris Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803042226",
            "country_code": "US",
            "telephone_number": "303-443-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALTAK",
        "first_name": "SHANNON",
        "middle_name": "DANIELLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.