Active NPI
Geraldine Sutton-Shores, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1891004214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4841
- Practice address
- 1120 N Circle Dr
Suite 11
Colorado Springs, CO 80909-3156 - Phone
- (719) 578-9730
- Fax
- (719) 473-7759
- NPI assigned
- Oct 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4841 | CO | Primary |
Addresses
Primary practice location
1120 N Circle Dr
Suite 11
Colorado Springs, CO 80909-3156
Mailing address
1120 N Circle Dr
Suite 11
Colorado Springs, CO 80909-3156
Phone (719) 578-9730
Other names 1
- Jeri Sutton-Shores
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4841 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286064000000",
"number": "1891004214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CIRCLE DR",
"address_2": "SUITE 11",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093156",
"telephone_number": "719-578-9730",
"fax_number": "719-473-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CIRCLE DR",
"address_2": "SUITE 11",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093156",
"telephone_number": "719-578-9730",
"fax_number": "719-473-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON-SHORES",
"first_name": "GERALDINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-03",
"last_updated": "2010-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERI",
"last_name": "SUTTON-SHORES",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.