Healthcare Provider Details

I. General information

NPI: 1093370546
Provider Name (Legal Business Name): BRIANNA SHAWCROFT NCC, ACS, LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 04/29/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9894 ROSEMONT AVE STE 202
LONE TREE CO
80124-4103
US

IV. Provider business mailing address

7108 S ALTON WAY STE A
CENTENNIAL CO
80112-2108
US

V. Phone/Fax

Practice location:
  • Phone: 303-241-0421
  • Fax:
Mailing address:
  • Phone: 303-694-3829
  • Fax: 303-694-3846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15559
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1028
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: