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

Q: 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.

Q: What is Kelly Shaffer's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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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.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)