MEDICARE: TERRASEN COUNSELING AND CONSULTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1134071640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRASEN COUNSELING AND CONSULTATION LLC

Provider Business Mailing Address
First Line	:	1500 N GRANT ST # 7239
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	720-507-7036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N GRANT ST # 7239
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	720-507-7036
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSEY SHACKELFORD
Credential	:	LCSW, LAC
Telephone Number	:	720-507-7036

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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