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SHINE INTEGRATED THERAPY
NPI 1639553944
Social Worker - Clinical in Denver, CO

Active since July 16, 2015
3035 W 25TH AVE, DENVER, CO 80211(303) 455-2409 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shine Integrated Therapy NPPES

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

SHINE INTEGRATED THERAPY (NPI 1639553944) is a healthcare organization registered as a clinical in Denver, Colorado and active in the NPI registry since July 2015. The organization lists Elizabeth Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1639553944
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHINE FITNESS LLC
Location Address3035 W 25TH AVEDenver, CO 80211-4635
Mailing Address2820 Wolff StDenver, CO 80212-1521 · (303) 455-2409
Phone(303) 455-2409
Organization SubpartNo
Authorized OfficialElizabeth ClarkOwner · 30345524019
Enumeration DateJuly 16, 2015
Last NPPES UpdateMarch 7, 2016
✔ NPI 1639553944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · 992361
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3035 W 25TH AVE, Denver, CO 80211
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Other Names 1

Doing Business AsShine Integrated Therapy

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shine Integrated Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shine Integrated Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Clark
Clinical Social Worker
NPI 1083098842
3035 W 25TH AVE
Denver, CO 80211
(303) 455-2409
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shine Fitness LLC's NPI number?

The NPI number for Shine Fitness LLC is 1639553944. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Shine Integrated Therapy.

Where is Shine Fitness LLC located?

Shine Fitness LLC is located at 3035 W 25th Ave, Denver, CO 80211. The listed phone number is (303) 455-2409.

What is Shine Fitness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shine Fitness LLC enrolled in Medicare?

Yes. Shine Fitness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Fitness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shine Fitness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shine Fitness LLC was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.