BRODY ANNA SHELSTAD (NPI# 1790266492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790266492 |
| Entity Type | Individual |
| Full Name | BRODY ANNA SHELSTAD |
| Practice Address |
1795 Jet Wing Dr Colorado Springs CO 80916-2332 |
| Mailing Address |
9025 E Girard Ave Apt 23 Denver CO 80231-5029 |
| Practice Telephone | 7196378919 |
| Mailing Telephone | 3033040372 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0001582 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1795 JET WING DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492955 | Melinda A Mitchell | Social Worker | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2006-01-24 |
| 1083215248 | Andrea Ximena Alban | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-11-04 |
| 1063010387 | Scott Barham | Marriage & Family Therapist | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-10-09 |
| 1487260246 | Melissa Hall | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-09-17 |
| 1316561202 | Theresa Lynn Moore | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-06-05 |
| 1275178006 | Melissa Wilburn | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-15 |
| 1528603008 | Aspenpointe, Inc. Dba Aspenpointe Health Services | Clinic/Center | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-08 |
| 1861036667 | Dawn Boardman | Social Worker | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-05 |
| 1831730688 | Dailyn Somoza Menendez | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-10-03 |
| 1043865280 | Lacy J Marx | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1083863153 | Concentra Health Services, Inc. | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2008-09-15 |
| 1740304146 | Sheila Odette | Pharmacist | 1425 S Murray Blvd, Colorado Springs, CO 80916 | 2007-03-19 |
| Find all providers in zip 80916 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1962029645 | Julie L Wilson LLC | Marriage & Family Therapist | 2130 Academy Cir Ste E, Colorado Springs, CO 80909-1661 | 2020-06-29 |
| 1841821725 | Counseling In Colorado Springs Pllc | Marriage & Family Therapist | 4740 Flintridge Dr Ste 220f, Colorado Springs, CO 80918-4273 | 2020-01-30 |
| 1548890601 | Adult Community Services, LLC | Marriage & Family Therapist | 2210 E La Salle St Ste 108, Colorado Springs, CO 80909-2303 | 2020-01-17 |
| 1457999559 | Stephanie Shubert | Marriage & Family Therapist | 7660 Goddard St, Colorado Springs, CO 80920-8230 | 2019-12-19 |
| 1154980704 | Alison G Dickson | Marriage & Family Therapist | 6170 Lehman Dr Ste 105a, Colorado Springs, CO 80918-3443 | 2019-06-07 |
| 1255990081 | Christine Limon | Marriage & Family Therapist | 1079 Milano Pt Apt 1722, Colorado Springs, CO 80921-5671 | 2019-06-05 |
| 1639632144 | Pathwise Productions, Inc. | Marriage & Family Therapist | 915 Pinon Ranch Vw, Colorado Springs, CO 80907-3578 | 2019-04-11 |
| 1689158065 | Patricia Joanne Diffee | Marriage & Family Therapist | 7450 Campus Dr Ste 100, Colorado Springs, CO 80920-3196 | 2018-09-20 |
| 1952884090 | Faith Kasper | Marriage & Family Therapist | 9043 Rollins Pass Ct, Colorado Springs, CO 80924-7015 | 2018-09-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
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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.