KELLY JO SHAFFER (NPI# 1700228103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700228103 |
| Entity Type | Individual |
| Full Name | KELLY JO SHAFFER |
| Other Name | KELLY JO WILLIAMS |
| Credential | LPC, LAC |
| Practice Address |
12055 W 2nd Pl Lakewood CO 80228 |
| Mailing Address |
12055 W 2nd Pl Lakewood CO 80228-1506 |
| Practice Telephone | 3034250300 |
| Practice Fax Number | 3034325015 |
| Mailing Telephone | 3034250300 |
| Mailing Fax Number | 3034325015 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACD.0000869 | CO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0012897 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316332794 | Kelly Shaffer | Physical Therapy Assistant | 126 New St, Muncy, PA 17756-1737 | 2015-04-01 |
| 1598146292 | Kelly M Shaffer | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2015-06-18 |
| 1962681577 | Kelly Shaffer | Family Medicine | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2007-10-31 |
| 1710060017 | Kelly Elaine Shaffer | Urology | 2687 Lake Park Dr, North Charleston, SC 29406-9100 | 2006-10-23 |
| Street Address |
12055 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495404 | Margaret Lackey | Psychiatry & Neurology | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2006-07-25 |
| 1699311803 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-11-22 |
| 1649826215 | Valerie K Damron | Technician, Other | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-08-10 |
| 1083132559 | Lauren Fouch | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-09-06 |
| 1487170692 | Anastasia Soroka | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-08-18 |
| 1447780994 | Alison West | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-06-18 |
| 1801332655 | Rachael Saffa | Social Worker | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-01-17 |
| 1942744388 | Paula Prentice | Psychologist | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-12-04 |
| 1326581257 | Theresa Tomich | Student in an Organized Health Care Education/Training Program | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-11-25 |
| 1376092080 | Jessica Way | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635867 | Indepth Therapy, LLC | Counselor | 7400 W Jefferson Ave Ste 111, Lakewood, CO 80235-2001 | 2020-09-27 |
| 1437770112 | Michael Andreas Sainz Sr. | Counselor | 7400 W Jefferson Ave, Lakewood, CO 80235-2001 | 2020-05-04 |
| 1811535669 | Ashley Kleinman Martinez | Counselor | 1658 Cole Blvd Ste 295, Lakewood, CO 80401-3312 | 2019-12-11 |
| 1811534290 | Olga Valeriivna Mikhnyuk | Counselor | 274 Union Blvd Ste 450, Lakewood, CO 80228-1836 | 2019-12-05 |
| 1649814732 | Laurie Holland | Counselor | 1175 Iris St, Lakewood, CO 80215-4632 | 2019-10-31 |
| 1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
| 1639631799 | Cheryl Ann Dahl-monahan | Counselor | 525 Route 70 Ste A3, Lakewood, NJ 08701-5847 | 2019-04-05 |
| 1477046381 | Dov Waidenbaum | Counselor | 60 Canary Dr, Lakewood, NJ 08701-5455 | 2018-06-14 |
| 1205344314 | Debora Liba Yoffe | Counselor | 119 Courtney Rd, Lakewood, NJ 08701-1855 | 2018-01-11 |
| 1760994792 | Isaac Schechter | Counselor | 1 Primrose Dr, Lakewood, NJ 08701-3283 | 2017-10-31 |
| Find all providers in LAKEWOOD | ||||
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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.