Individual provider Active NPI

Shelly Louise Hendley, LPC

  • Professional Counselor
  • Englewood, CO
National Provider Identifier
1871351924
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93112 Issued in TX
Practice address
1401 E Girard PL Apt 276
Englewood, CO 80113-2962
Phone
(682) 268-0230
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 93112 TX Primary
Professional Counselor 101YP2500X LPC.0023670 CO

Addresses

Primary practice location

1401 E Girard PL Apt 276
Englewood, CO 80113-2962

Mailing address

1401 E Girard PL Apt 276
Englewood, CO 80113-2962
Phone (682) 268-0230

Other practice location 1

12813 Northern Steppe Rd
Ponder, TX 76259-1265
Phone (682) 268-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260517000063 TX Practitioner - Mental Health Counselor 5991274169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

535 Mack Ave
Kingsley, MI 49649-9220

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0021387COMDProfessional Counselor
93112TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Past Accepting new patients

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1871351924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E GIRARD PL APT 276",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132962",
            "telephone_number": "682-268-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E GIRARD PL APT 276",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132962",
            "telephone_number": "682-268-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12813 Northern Steppe Rd",
            "address_purpose": "LOCATION",
            "city": "Ponder",
            "state": "TX",
            "postal_code": "762591265",
            "country_code": "US",
            "telephone_number": "682-268-0230",
            "fax_number": "682-268-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDLEY",
        "first_name": "SHELLY",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93112",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0023670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.