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SHANNA KETTERIDGE LPC, MC
NPI 1619379112
Counselor - Professional in Fort Collins, CO

Active since September 16, 2014
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(970) 613-4475 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 24, 2024, May 30, 2019, Aug 24, 2017 (3 updates tracked since 2017).

About Shanna Ketteridge Lpc, Mc NPPES

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

SHANNA KETTERIDGE LPC, MC (NPI 1619379112) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0013006) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1619379112
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNA KETTERIDGECredential: LPC, MC
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (970) 613-4475
Phone(970) 494-4200
Fax(970) 613-4475
Sole ProprietorNo
Enumeration DateSeptember 16, 2014
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1619379112 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 · LPC.0013006
4856 INNOVATION DR, Fort Collins, CO 80525
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Other Providers at the Same Location NPPES 20

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

KOKI ADACHI BA
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
DR. JOSEPH MESSER PHARMD
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ANDREA STRAYER LCSW, CAC II, MSW
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
AMANDA MURRY M.ED.
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
LIZBETT GARCIA
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MORGAN RICE CAT
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ELISSA STILWELL
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
EMILY LAU
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

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 Shanna Ketteridge's NPI number?

The NPI number for Shanna Ketteridge is 1619379112. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Shanna Ketteridge located?

Shanna Ketteridge practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Shanna Ketteridge'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 Shanna Ketteridge was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.