SHANNON ELIZABETH MATLOCK (NPI# 1023624384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023624384 |
| Entity Type | Individual |
| Full Name | SHANNON ELIZABETH MATLOCK |
| Credential | LPCC |
| Practice Address |
2175 Academy Cir Ste 200 Colorado Springs CO 80909-1682 |
| Mailing Address |
4025 Darby Cir E Colorado Springs CO 80907-3936 |
| Practice Telephone | 7193452424 |
| Mailing Telephone | 4174371915 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
0016900 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DORA | 0016900 | 01 |
| Street Address |
2175 ACADEMY CIR STE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322747 | Amber Kosloske | Psychologist | 5155 Laredo Ridge Dr, Colorado Springs, CO 80922-2222 | 2020-06-28 |
| 1710453493 | Amparo Rodriguez, Lpc, LLC | Psychologist | 1322 N Academy Blvd Ste 114d, Colorado Springs, CO 80909-3327 | 2018-10-19 |
| 1194271346 | Jennifer Susan Brown | Psychologist | 1802 Chapel Hills Dr Ste C, Colorado Springs, CO 80920-3736 | 2016-08-28 |
| 1265512594 | Lorraine A. White | Psychologist | 555 E Pikes Peak Ave Ste 108, Colorado Springs, CO 80903-3612 | 2006-10-17 |
| 1063078228 | River of Life Counseling LLC | Psychologist | 1802 Chapel Hills Dr Ste C, Colorado Springs, CO 80920-3736 | 2019-05-14 |
| 1063981025 | Juchia Crystal Lopez | Psychologist | 1401 Potter Dr, Colorado Springs, CO 80909-3558 | 2018-11-20 |
| 1053896415 | Peak Therapeutic Services | Psychologist | 6760 Corporate Dr Ste 140, Colorado Springs, CO 80919-5910 | 2018-10-01 |
| 1457845711 | Sarah Spinella Forcey | Psychologist | 12295 Oracle Blvd Ste 200, Colorado Springs, CO 80921-3901 | 2018-06-20 |
| 1770081218 | Emily A Hatch | Psychologist | 7222 Commerce Center Dr Ste 220, Colorado Springs, CO 80919-2631 | 2018-01-30 |
| 1790209138 | Hyatt Counseling, Inc | Psychologist | 322 N Tejon St Ste 204, Colorado Springs, CO 80903-1240 | 2017-07-27 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on SHANNON ELIZABETH MATLOCK.
| 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.