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SHADOE UNDERWOOD M.S., L.P.C., N.C.C
NPI 1720469166
Counselor - Professional in La Junta, CO

Active since June 11, 2015PECOS Enrolled
711 BARNES AVE, LA JUNTA, CO 81050(719) 384-5446 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2022, Oct 21, 2022 (2 updates tracked since 2022).

About Shadoe Underwood M.s., L.p.c., N.c.c NPPES

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

SHADOE UNDERWOOD M.S., L.P.C., N.C.C (NPI 1720469166) is an individual professional provider in La Junta, Colorado, licensed in Colorado (LPC.0017630) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720469166
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHADOE UNDERWOODCredential: M.S., L.P.C., N.C.C
Location Address711 BARNES AVELa Junta, CO 81050-2138
Mailing Address711 Barnes AveLa Junta, CO 81050-2138 · (719) 384-5446
Phone(719) 384-5446
Sole ProprietorNo
Enumeration DateJune 11, 2015
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1720469166 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.0017630
711 BARNES AVE, La Junta, CO 81050
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadoe Underwood M.s., L.p.c., N.c.c 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.

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.

KELSIE ANN SCHEUERMAN B.A.
Counselor (Mental Health)
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
KENDRA SMITH
Case Manager/Care Coordinator
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
JENNIFER KAY ROBERTSON M.A.
Counselor (Mental Health)
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
KARA MARIE HURT B.S.
Counselor
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
KATHERINE HAWLEY HIGGINS M.A.
Counselor (Mental Health)
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
ADAM SCHAFER
Counselor (Addiction (Substance Use Disorder))
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (800) 511-5446
NEREIDA MARIE AGUIRRE
Case Manager/Care Coordinator
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
MRS. KRISTI LEANN ROE
Case Manager/Care Coordinator
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446

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 Shadoe Underwood's NPI number?

The NPI number for Shadoe Underwood is 1720469166. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Shadoe Underwood located?

Shadoe Underwood practices at 711 Barnes Ave, La Junta, CO 81050. The listed phone number is (719) 384-5446.

What is Shadoe Underwood's specialty?

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

Is Shadoe Underwood enrolled in Medicare?

Yes. Shadoe Underwood is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shadoe Underwood was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.