SHADOE UNDERWOOD M.S., L.P.C., N.C.C
NPI 1720469166
Counselor - Professional in La Junta, CO
- Individual
- Female
- Counselor
- Professional
- PECOS Enrolled
About SHADOE UNDERWOOD
This page provides the complete NPI Profile along with additional information for Shadoe Underwood, a provider established in La Junta, Colorado with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1720469166 assigned on June 2015. The practitioner's primary taxonomy code is 101YP2500X with license number LPC.0017630 (CO). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1720469166 Verify this NPI
- Provider Name
- SHADOE UNDERWOOD M.S., L.P.C., N.C.C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 711 BARNES AVE LA JUNTA, CO 81050
- Location Phone
- (719) 384-5446
- Mailing Address
- 711 BARNES AVE LA JUNTA, CO 81050
- Mailing Phone
- (719) 384-5446
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-11-2015
- Last Update Date
- 11-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC.0017630
- License State
- CO
Medicare Participation & PECOS Enrollment Status
Shadoe Underwood is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for SHADOE UNDERWOOD M.S., L.P.C., N.C.C
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LA JUNTA, CO 81050
LA JUNTA, CO 81050
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720469166, enumerated as an "individual" on June 11, 2015.
The provider is located at 711 BARNES AVE LA JUNTA, CO 81050 and the phone number is (719) 384-5446.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
