MRS. SHIRELL RENEE WHITE


Address: 2605 W 144th Ave, Broomfield, CO 80023-6203
Phone: 7205889190

MRS. SHIRELL RENEE WHITE (NPI# 1013496413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013496413
Entity Type Individual
Full Name MRS. SHIRELL RENEE WHITE
Other Name MS. SHIRELL RENEE FORD
Credential LPC, NCC
Practice Address 2605 W 144th Ave
Broomfield
CO 80023-6203
Mailing Address 13261 Pearl Cir
Thornton
CO 80241-1719
Practice Telephone 7205889190
Mailing Telephone 7205889190
Enumeration Date 2018-08-07
Last Update Date 2018-08-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC.0013019 CO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO LPC LPC.0013019 01

Office Location

Street Address 2605 W 144TH AVE
City BROOMFIELD
State CO
Zip Code 80023-6203

Providers in the same zip code

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1730793803 Alexis Marie Gerry Dentist 13606 Xavier Lane Suite B, Broomfield, CO 80023 2020-09-04
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1821624594 Kelley Stephenson Social Worker 469 Co-7, Broomfield, CO 80023 2020-03-13
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1104387810 Daniel Ojala Student in an Organized Health Care Education/Training Program 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 2019-03-26
1184102527 Kristina Elizabeth Rainwater Occupational Therapist 3303 W 144th Ave #207, Broomfield, CO 80023 2018-07-28
1689122467 Jane Vela Physical Therapist 14866 Falcon Drive, Broomfield, CO 80023 2016-09-21
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1235541426 Hearthside Dentistry Dentist 16578 N Washington St, Thornton, CO 80023 2014-05-22
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205445582 Heather Lynn Frostman Counselor 80 Garden Ctr Ste 134, Broomfield, CO 80020-1790 2020-07-23
1831724038 Alicia Leroy Counselor 80 Garden Ctr Ste 254, Broomfield, CO 80020-1735 2020-03-08
1447715776 Sarah Anne Fletcher Counselor 350 Interlocken Blvd Ste 100, Broomfield, CO 80021-3478 2019-01-31
1699249755 Rebecca Armstrong Counselor 1500 Hwy-us 287, Broomfield, CO 80020-8002 2019-01-11
1407326960 Krista Curl Counselor 80 Garden Ctr Ste 42, Broomfield, CO 80020-1777 2018-11-27
1164941712 Robin J Sackmann Counselor 80 Garden Ctr Ste 136, Broomfield, CO 80020-1790 2017-09-14
1588187678 Jenny St. Claire Counselor 80 Garden Ctr Ste 140, Broomfield, CO 80020 2017-07-20
1558712208 Creative Psychotherapy Institute, LLC Counselor 5105 W 128th Pl, Broomfield, CO 80020-5739 2016-06-23
1063867174 Krista Ochocki Counselor 16697 Pinnacle Ct, Broomfield, CO 80023-8051 2016-04-26
1679972442 Nicholas Simpson, LLC Counselor 11001 W 120th Ave, Suite 400, Broomfield, CO 80021-3494 2014-08-18
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Competitor

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City BROOMFIELD
Zip Code 80023

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Dataset Information

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.

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