CHRISTINA JOY SHORE MA
NPI 1487218517
Counselor - Mental Health in Boulder, CO

Active since April 24, 2019Opted out of Medicare · through Jan 23, 2028
2300 CANYON BLVD STE 5, BOULDER, CO 80302(720) 318-9462 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christina Joy Shore Ma NPPES

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

CHRISTINA JOY SHORE MA (NPI 1487218517) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since April 2019. She has opted out of Medicare through January 23, 2028.

NPPES Registry Identity

NPI1487218517
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTINA JOY SHORECredential: MA
Location Address2300 CANYON BLVD STE 5Boulder, CO 80302-5619
Mailing Address3250 Oneal Cir Apt K30Boulder, CO 80301-1471 · (847) 571-6630
Sole ProprietorNo
Enumeration DateApril 24, 2019
NPI 1487218517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2300 CANYON BLVD STE 5, Boulder, CO 80302

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Christina Joy Shore Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2024 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2024
Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
2300 CANYON BLVD STE 5
BOULDER, CO 80302
Naturopath
2300 CANYON BLVD STE 5
BOULDER, CO 80302

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 Christina Shore's NPI number?

The NPI number for Christina Shore is 1487218517. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Christina Shore located?

Christina Shore practices at 2300 Canyon Blvd Ste 5, Boulder, CO 80302. The listed phone number is (720) 318-9462.

What is Christina Shore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Christina Shore enrolled in Medicare?

No. Christina Shore has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Christina Shore was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.