KRISTY SHOJI PHD, ABPP
NPI 1770002891
Counselor in Highlands Ranch, CO
About Kristy Shoji Phd, Abpp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTY SHOJI PHD, ABPP (NPI 1770002891) is an individual counselor in Highlands Ranch, Colorado, licensed in Colorado (PSY.0004662) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristy Shoji Phd, Abpp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristy Shoji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Highlands Ranch, CO 80130
- Reassigned Medicare billing, Colorado enrollment
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristy Shoji's NPI number?
The NPI number for Kristy Shoji is 1770002891. It was assigned to this individual provider in the NPPES registry on September 11, 2017. The provider is also known as Kristy Lynn Douglas.
Where is Kristy Shoji located?
Kristy Shoji practices at 9449 Yale Ln, Highlands Ranch, CO 80130. The listed phone number is (970) 805-0716.
What is Kristy Shoji's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Kristy Shoji enrolled in Medicare?
Yes. Kristy Shoji is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristy Shoji's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Shoji reassigns Medicare benefits to Autumn Years PLLC (Highlands Ranch, 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 Kristy Shoji'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 Kristy Shoji was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kristy Shoji, PHD, ABPP · NPI 1770002891
Counselor provider in Highlands Ranch, Colorado. Individual provider, active in the CMS NPPES registry since September 11, 2017.
## Identity
- **NPI:** 1770002891 (Entity type: Individual)
- **Enumerated:** September 11, 2017
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** PSY.0004662 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9449 YALE LN, Highlands Ranch, CO 80130-3726
- **Phone:** (970) 805-0716
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Autumn Years PLLC (NPI 1770394777, Highlands Ranch, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770002891) · Data from the CMS NPPES public registry.