Individual provider Active NPI

Denise Elizabeth Shaffer, D.ED., LPC, NCC

  • Professional Counselor
  • Johnstown, PA
National Provider Identifier
1851632756
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006643 Issued in PA
Practice address
131 Market Street
Johnstown, PA 15522
Phone
(814) 623-1212
NPI assigned
Mar 4, 2013
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006643 PA Primary
School Counselor 101YS0200X 01000645 PA
School Counselor 101YS0200X 07628573 PA

Addresses

Primary practice location

131 Market Street
Johnstown, PA 15522

Mailing address

131 Market Street
Johnstown, PA 15522

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
Credentials
Doctor of Education

State licenses

LicenseStateTypeSpecialty
PC006643PAMDProfessional Counselor
01000645PAMDSchool Counselor
07628573PAMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1851632756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MARKET STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MARKET STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15522",
            "telephone_number": "814-623-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "DENISE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.ED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006643",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "PA",
            "license": "01000645",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "PA",
            "license": "07628573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.