SHANALEE DAWN OURSO (M.A.) – Professional Counselor, NPI 1386829091

SHANALEE DAWN OURSO (M.A.) is a healthcare provider. based in Pueblo, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. They hold a License No. LPC.0022799 (CO). The NPI Number for SHANALEE DAWN OURSO (M.A.) is 1386829091

Main info

Female
11 Years Of Experience
Name
SHANALEE DAWN OURSO (M.A.)
NPI
1386829091
Phone
(719) 584-4921
Address
400 W 16th St
Enumeration Date
2 January 2008
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
3274014022
Professional Enrollment ID
I20260219004817
Address ID
CO805388702LO2695XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for SHANALEE DAWN OURSO (M.A.)

  • 400 W 16th St

    Pueblo, CO 810032745

    Phone: (719) 584-4921

    Type: Location

  • 711, Barnes Avenue, La Junta, Otero County, Colorado, 81050, United States

    LA JUNTA, CO 810502138

    Phone: (719) 384-5446

    Fax: (719) 384-5672

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260219004817IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81003)

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Reviews

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Frequently asked questions

Is SHANALEE DAWN OURSO (M.A.) listed with a National Provider Identifier?
Yes — SHANALEE DAWN OURSO (M.A.) has NPI 1386829091 on file in the registry.
Is there an active status for SHANALEE DAWN OURSO (M.A.)?
For scheduling context, SHANALEE DAWN OURSO (M.A.) is shown as active in the registry.
What area of care is associated with SHANALEE DAWN OURSO (M.A.)?
SHANALEE DAWN OURSO (M.A.)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Colorado is SHANALEE DAWN OURSO (M.A.) registered?
Use Pueblo, Colorado as the headline location for SHANALEE DAWN OURSO (M.A.) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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