Shanna Ketteridge, LPC, MC in Fort Collins, CO

Shanna Ketteridge, LPC, MC is a medicare enrolled "Counselor - Professional" provider in Fort Collins, Colorado. Her current practice location is 4856 Innovation Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 494-4200.

Shanna Ketteridge is licensed to practice in Colorado (license number LPC.0013006) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619379112.

Contact Information

	Shanna Ketteridge, LPC, MC
	4856 Innovation Dr, Fort Collins, CO 80525-5539
	(970) 494-4200
	(970) 613-4475

Map and Direction

Healthcare Provider's Profile

Full Name	Shanna Ketteridge
Gender	Female
Speciality	Counselor - Professional
Location	4856 Innovation Dr, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619379112
Provider Enumeration Date: 09/16/2014
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9436591765
Enrollment ID: I20240531001079

Medical Identifiers

Medical identifiers for Shanna Ketteridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619379112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0013006 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shanna Ketteridge allows following entities to bill medicare on her behalf.

Entity Name	Summitstone Health Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821552738 PECOS PAC ID: 4284527144 Enrollment ID: O20040204000768

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanna Ketteridge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shanna Ketteridge, LPC, MC 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200	Shanna Ketteridge, LPC, MC 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200

Reviews and Comments

Counselor in Fort Collins, CO

Craig Mcfadden, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4601 Corbett Dr, Fort Collins, CO 80528 Phone: 970-207-4800 Fax: 970-207-4805
Caroline Catherine Bunn, LPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525 Phone: 970-494-4200
Andrea Strayer, LCSW, CAC II, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 4856 Innovation Dr, Fort Collins, CO 80525 Phone: 970-494-4200 Fax: 970-613-4475
Velma G Gallegos, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 W Oak St, Fort Collins, CO 80521 Phone: 970-494-4300
Mrs. Kayla Elizabeth Poulson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Mulberry St Ste 101, Fort Collins, CO 80521 Phone: 970-530-2887
Monica Rowell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4115 Boardwalk Dr, Suite 100, Fort Collins, CO 80525 Phone: 970-493-4580
Stephanie Robyn Saxe, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Oak St Fl 4, Fort Collins, CO 80521 Phone: 970-310-3406

Shanna Ketteridge, LPC, MC - Medicare Counselor in Fort Collins, CO