Provider Demographics
NPI:1215552609
Name:ADAMS, SHANAE
Entity type:Individual
Prefix:
First Name:SHANAE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18121 E HAMPDEN AVE
Mailing Address - Street 2:UNIT C #1081
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3310
Mailing Address - Country:US
Mailing Address - Phone:720-938-3082
Mailing Address - Fax:
Practice Address - Street 1:1210 S PARKER RD STE 210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2163
Practice Address - Country:US
Practice Address - Phone:303-881-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19725101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional