SHANNON DANIELLE FALTAK MS
NPI 1750784369
Counselor - Professional in Littleton, CO

Q: What is Shannon Faltak's NPI number?

The NPI number for Shannon Faltak is 1750784369. It was assigned to this individual provider in the NPPES registry on September 28, 2014.

Q: What is Shannon Faltak'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 Shannon Faltak was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 28, 2014PECOS Enrolled

6509 S SANTA FE DR, LITTLETON, CO 80120(303) 730-8858 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Danielle Faltak Ms NPPES

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

SHANNON DANIELLE FALTAK MS (NPI 1750784369) is an individual professional provider in Littleton, Colorado, licensed in Colorado (LPC.0014470) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boulder.

NPPES Registry Identity

NPI1750784369

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHANNON DANIELLE FALTAKCredential: MS

Location Address6509 S SANTA FE DRLittleton, CO 80120-2910

Mailing Address1333 Iris AveBoulder, CO 80304-2226 · (303) 443-8500

Phone(303) 730-8858

Sole ProprietorNo

Enumeration DateSeptember 28, 2014

Last NPPES UpdateMarch 31, 2020

NPPES CertifiedMarch 31, 2020

✔ NPI 1750784369 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.0014470

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

6509 S SANTA FE DR, Littleton, CO 80120

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Secondary Practice Location 1

Location 11333 Iris AveBoulder, CO 80304-2226 · Phone (303) 443-8500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Danielle Faltak Ms 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.

MS. SARAH MARIE MALSOM

Counselor (Professional)