SHANNON GROSSMAN (NPI# 1699273888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699273888 |
| Entity Type | Individual |
| Full Name | SHANNON GROSSMAN |
| Credential | LPC |
| Practice Address |
1701 W 72nd Ave Denver CO 80221-2721 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 3036504460 |
| Practice Fax Number | 7202060434 |
| Mailing Telephone | 3036653036 |
| Mailing Fax Number | 3036653397 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC.0015042 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 S Union St Ste 208, Traverse City, MI 496842575 | 2694911741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296917 | Shannon Grossman | Social Worker | 740 Cameron M Alexander Blvd Nw, Atlanta, GA 30318-6812 | 2020-02-04 |
| Street Address |
1701 W 72ND AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80221-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256522 | Clinica Campesina Family Health Services | Clinic/Center | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2005-09-23 |
| 1700422128 | Hilary Feller | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-11-20 |
| 1609421379 | Kylie Ferri | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-08-08 |
| 1144873753 | Rachel Shaffer | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-07-23 |
| 1205308434 | Raquel Fonte Cofield | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-12-28 |
| 1831674274 | Jenni K Polivka | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-10-02 |
| 1407336738 | Kesley Low | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-08-16 |
| 1922504976 | Rene Corral | Pharmacist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-03-30 |
| 1093246837 | Anne Shaffer | Dentist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2017-03-23 |
| 1093251712 | German Cormons | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2017-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060505 | Sayfon Siamphone | Dental Hygienist | 2220 W 80th Pl, Denver, CO 80221 | 2016-09-01 |
| 1477958445 | Ravid Moshe Gur | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Avenue, Denver, CO 80221 | 2014-11-03 |
| 1447654223 | Rebecca Sonnenburg | Physical Therapy Assistant | 3150 W 63rd Ave, Denver, CO 80221 | 2014-10-22 |
| 1205126463 | Deanne Marie Hufnagel Wingerter | Pediatrics | 4975 Newton St, Denver, CO 80221 | 2011-04-08 |
| 1558662510 | Grant Kinser | Counselor | 4805 Umatilla St, Denver, CO 80221 | 2010-11-08 |
| 1417261207 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 7101 E 128th St., Thornton, CO 80221 | 2010-08-04 |
| 1811211923 | Lymari Diaz | Counselor | 8384 Elati S., Denver, CO 80221 | 2010-03-18 |
| 1881928463 | Jonathan M Sullivan | Case Manager/Care Coordinator | 2829 W 33rd Ave., Denver, CO 80221 | 2009-09-29 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1851554828 | Jessica J Kraeft | Radiology | 1756 W 67th Ave, Denver, CO 80221 | 2008-07-09 |
| Find all providers in zip 80221 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331041 | Jackky Sirichantho | Counselor | 2755 S Locust St Ste 216, Denver, CO 80222-7132 | 2020-09-16 |
| 1245845866 | Lily Buthod | Counselor | 2512 S University Blvd Apt 504, Denver, CO 80210-6147 | 2020-09-10 |
| 1598379638 | Lauren Gardner | Counselor | 5100 Leetsdale Dr Apt 102, Denver, CO 80246-8131 | 2020-09-05 |
| 1588278048 | Cassandra Goar | Counselor | 8720 Franklin St, Denver, CO 80229-5051 | 2020-09-02 |
| 1689286486 | Kyle Holmes | Counselor | 4800 E Cherry Creek South Dr Apt B100, Denver, CO 80246-2297 | 2020-08-21 |
| 1780295766 | Tara Jean Barrett | Counselor | 3055 N Monroe St, Denver, CO 80205-4943 | 2020-08-12 |
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1841800935 | Lucy Klein | Counselor | 530 25th St Apt 201, Denver, CO 80205-2959 | 2020-08-04 |
| 1063039048 | Senite Sahlezghi | Counselor | 6240 Smith Rd, Denver, CO 80216-4632 | 2020-06-25 |
| 1033734108 | Kelly Kreuzberger | Counselor | 1390 S Garfield St, Denver, CO 80210-2532 | 2020-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.