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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0013019 | CO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | LPC | LPC.0013019 | 01 |
Street Address |
2605 W 144TH AVE |
City | BROOMFIELD |
State | CO |
Zip Code | 80023-6203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
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 |
1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
Find all providers in zip 80023 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in BROOMFIELD |
City | BROOMFIELD |
Zip Code | 80023 |
Please comment or provide details below to improve the information on MRS. SHIRELL RENEE WHITE.
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.