Individual provider Active NPI

Shannon Nopper, LPC, LAC, NCC, LLC.

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1952825606
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0014274 Issued in CO
Practice address
3455 Briargate Blvd Ste 270
Colorado Springs, CO 80920-4167
Phone
(719) 313-2913
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000990 CO
Mental Health Counselor 101YM0800X LPC.0014274 CO Primary

Addresses

Primary practice location

3455 Briargate Blvd Ste 270
Colorado Springs, CO 80920-4167

Mailing address

2002 Independence Dr
Colorado Springs, CO 80920-3768

Other identifiers 1

IdentifierTypeStateIssuer
9000166040MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260108000048 CO Practitioner - Mental Health Counselor 5698251841 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3455 Briargate Blvd
Suite 270
Colorado Springs, CO 80920-4105

3455 Briargate Blvd
Suite 270
Colorado Springs, CO 80920-4167
Phone (719) 313-2913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0000990COMDAddiction (Substance Use Disorder) Counselor
LPC.0014274COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Recovery Services, LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1952825606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 INDEPENDENCE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 BRIARGATE BLVD STE 270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204167",
            "telephone_number": "719-313-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOPPER",
        "first_name": "SHANNON",
        "credential": "LPC, LAC, NCC, LLC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000990",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000166040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.