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KELLY JO SHAFFER LPC, LAC
NPI 1700228103
Counselor - Professional in Denver, CO

Active since July 25, 2013PECOS Enrolled
777 BANNOCK ST, DENVER, CO 80204(303) 436-4949(303) 602-3733 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2025, Feb 3, 2022, Jan 27, 2022 and 2 more (5 updates tracked since 2016).

About Kelly Jo Shaffer Lpc, Lac NPPES

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

KELLY JO SHAFFER LPC, LAC (NPI 1700228103) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0012897) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700228103
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY JO SHAFFERCredential: LPC, LAC
Location Address777 BANNOCK STDenver, CO 80204-4597
Mailing Address777 Bannock StDenver, CO 80204-4597 · (303) 436-4949 · Fax (303) 602-3733
Phone(303) 436-4949
Fax(303) 602-3733
Sole ProprietorNo
Enumeration DateJuly 25, 2013
Last NPPES UpdateJanuary 7, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1700228103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0012897
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0000869 (CO)
777 BANNOCK ST, Denver, CO 80204
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Jo Williams Lpc, Lac

Secondary Practice Locations 2

Location 13515 S Delaware StEnglewood, CO 80110-3529 · Phone (303) 360-6276 ext. 4806 · Fax (303) 762-1583
Location 22255 S Oneida StDenver, CO 80224-2522 · Phone (303) 360-6276 · Fax (303) 761-2787

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jo Shaffer Lpc, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Shaffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority
Same address
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000

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

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.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS
Clinical Nurse Specialist (Psychiatric/Mental Health)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6630
RYAN DEAN LATERZA M.D.
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
BARBARA E ANDERSON NP
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-0340
PHILIP ANDREOLI D.O.
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-4949
JESSICA RENEE KUDLOCK LCSW
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-7220
ELIZABETH PERKINS-PRIDE
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KIRSTEN ERIKSEN PA-C
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KATHRYN IRENE GARNER MD, MPH
Family Medicine
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000

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 Kelly Shaffer's NPI number?

The NPI number for Kelly Shaffer is 1700228103. It was assigned to this individual provider in the NPPES registry on July 25, 2013. The provider is also known as Kelly Jo Williams Lpc, Lac.

Where is Kelly Shaffer located?

Kelly Shaffer practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-4949.

What is Kelly Shaffer's specialty?

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

Is Kelly Shaffer enrolled in Medicare?

Yes. Kelly Shaffer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Shaffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shaffer reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). The 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 Kelly Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Shaffer was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.