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SHOSHANNA K. SHACHTMAN, ED.D, LPC, NCC
NPI 1164873519
Counselor - Professional in Fort Collins, CO

Active since June 27, 2016
109 CORONADO CT, FORT COLLINS, CO 80525(720) 380-3725 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shoshanna K. Shachtman, Ed.d, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOSHANNA K. SHACHTMAN, ED.D, LPC, NCC (NPI 1164873519) is a healthcare organization registered as a professional in Fort Collins, Colorado and active in the NPI registry since June 2016. The organization lists Shosnanna Kozberg Shachtman, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1164873519
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSHOSHANNA K. SHACHTMAN, ED.D, LPC, NCC
Location Address109 CORONADO CTFort Collins, CO 80525-4929
Mailing Address109 Coronado CtFort Collins, CO 80525-4929 · (720) 380-3725
Phone(720) 380-3725
Organization SubpartNo
Authorized OfficialShosnanna Kozberg ShachtmanLicensed Professional Counselor · (720) 380-3725
Enumeration DateJune 27, 2016
✔ NPI 1164873519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 0012079
109 CORONADO CT, Fort Collins, CO 80525
Open in Google Maps ↗

Other Identifiers 1

Medicaid20131223174CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA FRANCES MARTINEZ LCSW, LAC
Social Worker (Clinical)
109 CORONADO CT
FORT COLLINS, CO 80525
Larimer County (801) 675-1620
HIGHER SIGHTS COUNSELING
Community/Behavioral Health
109 CORONADO CT
FORT COLLINS, CO 80525
Larimer County (720) 943-7080
ANN PURVES LPCC
Counselor (Mental Health)
109 CORONADO CT
FORT COLLINS, CO 80525
Larimer County (970) 579-0884
TAYLOR EISENACH M.A.
Counselor (Mental Health)
109 CORONADO CT
FORT COLLINS, CO 80525
Larimer County (970) 829-1321
GROWTH IS FREEDOM THERAPY LLC
Social Worker (Clinical)
109 CORONADO CT
FORT COLLINS, CO 80525
Larimer County (970) 657-7555
DR. AMY R INDERMUEHLE PSYD
Psychologist
109 CORONADO CT, BUILDING 7
FORT COLLINS, CO 80525
Larimer County (970) 676-3395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoshanna K. Shachtman, Ed.D, Lpc, Ncc's NPI number?

The NPI number for Shoshanna K. Shachtman, Ed.D, Lpc, Ncc is 1164873519. It was assigned to this organization in the NPPES registry on June 27, 2016.

Where is Shoshanna K. Shachtman, Ed.D, Lpc, Ncc located?

Shoshanna K. Shachtman, Ed.D, Lpc, Ncc is located at 109 Coronado Ct, Fort Collins, CO 80525. The listed phone number is (720) 380-3725.

What is Shoshanna K. Shachtman, Ed.D, Lpc, Ncc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shoshanna K. Shachtman, Ed.D, Lpc, Ncc was last updated on June 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.