VALERIE JOY SHINBAUM MS, LPC, MAC, NCC
NPI 1477645265
Counselor - Professional in Greenwood Village, CO

NPI Status: Active since September 29, 2006

Contact Information

6500 S QUEBEC ST STE 300
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (610) 322-7829
Fax: (720) 645-2859

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  • Individual
  • Female
  • Counselor
  • Professional
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About VALERIE SHINBAUM

This page provides the complete NPI Profile along with additional information for Valerie Shinbaum, a provider established in Greenwood Village, Colorado with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1477645265 assigned on September 2006. The practitioner's primary taxonomy code is 101YP2500X with license number PC001364 (PA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1477645265
Provider Name
VALERIE JOY SHINBAUM MS, LPC, MAC, NCC
Gender
Female
Entity Type
Individual
Location Address
6500 S QUEBEC ST STE 300 GREENWOOD VILLAGE, CO 80111
Location Phone
(610) 322-7829
Location Fax
(720) 645-2859
Mailing Address
6500 S QUEBEC ST STE 300 GREENWOOD VILLAGE, CO 80111
Mailing Phone
(610) 322-7829
Mailing Fax
(720) 645-2859
Is Sole Proprietor?
Yes
Enumeration Date
09-29-2006
Last Update Date
06-11-2019
Code Navigator



The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Valerie Shinbaum opted out of Medicare effective on 08-01-2025 until 08-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 2008 W 120th Ave Ste 1
    Northglenn, CO 80234
    (610) 322-7829

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
PC001364
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
72900059MEDICAID (05)CO 

Medicare Participation & PECOS Enrollment Status

Valerie Shinbaum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-01-2025

  • Opt-Out End Date: 08-01-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for VALERIE JOY SHINBAUM MS, LPC, MAC, NCC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477645265, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 2 + 4 + 1 + 0 + 2 + 1 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477645265.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
6500 S QUEBEC ST STE 300
GREENWOOD VILLAGE, CO 80111
Counselor (Professional)
6500 S QUEBEC ST STE 300
ENGLEWOOD, CO 80111
Family Medicine
6500 S QUEBEC ST STE 300
CENTENNIAL, CO 80111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477645265, enumerated as an "individual" on September 29, 2006.

The provider is located at 6500 S QUEBEC ST STE 300 GREENWOOD VILLAGE, CO 80111 and the phone number is (610) 322-7829.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.