Provider Demographics
NPI:1477645265
Name:SHINBAUM, VALERIE JOY (MS, LPC, MAC, NCC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JOY
Last Name:SHINBAUM
Suffix:
Gender:F
Credentials:MS, LPC, MAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 S QUEBEC ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4674
Mailing Address - Country:US
Mailing Address - Phone:610-322-7829
Mailing Address - Fax:720-645-2859
Practice Address - Street 1:6500 S QUEBEC ST STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4674
Practice Address - Country:US
Practice Address - Phone:610-322-7829
Practice Address - Fax:720-645-2859
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001364101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72900059Medicaid