Shonda N White
Individual provider Active NPI Counselor · Cascade, CO
NPI 1912671595 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1912671595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 9550 Mountain Rd
Cascade, CO 80809-1524 - Phone
- (217) 341-0750
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes |
Addresses
Primary practice location
9550 Mountain Rd
Cascade, CO 80809-1524
Mailing address
9550 Mountain Rd
Cascade, CO 80809-1524
Other providers in Cascade, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.