Provider Demographics
NPI:1700263795
Name:SHIPPS, SHAUNA (LPC)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:SHIPPS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 STARFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8453
Mailing Address - Country:US
Mailing Address - Phone:720-308-1774
Mailing Address - Fax:
Practice Address - Street 1:10290 S PROGRESS WAY STE 205
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9056
Practice Address - Country:US
Practice Address - Phone:720-753-5710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013959101Y00000X
CONLC.0104674101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor