Active NPI
Shannon Oberndorf, M.S.
- Counselor
- Aurora, CO
National Provider Identifier
1932406014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11623
- Practice address
- 12510 E Iliff Ave
Ste 100B
Aurora, CO 80014-6377 - Phone
- (303) 617-2300
- NPI assigned
- Feb 25, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11623 | CO | Primary |
Addresses
Primary practice location
12510 E Iliff Ave
Ste 100B
Aurora, CO 80014-6377
Mailing address
12510 E Iliff Ave
Ste 100B
Aurora, CO 80014-6377
Phone (303) 617-2300
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11623 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Oberndorf | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood Village, CO
- NPI 1194399006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1932406014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 E ILIFF AVE",
"address_2": "STE 100B",
"city": "AURORA",
"state": "CO",
"postal_code": "800146377",
"telephone_number": "303-617-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 E ILIFF AVE",
"address_2": "STE 100B",
"city": "AURORA",
"state": "CO",
"postal_code": "800146377",
"telephone_number": "303-617-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERNDORF",
"first_name": "SHANNON",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "11623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.