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MISS KERYN SHANE LPC
NPI 1053736769
Counselor - Professional in Lakewood, NJ

Active since March 04, 2014PECOS EnrolledAccepts Medicare Assignment
999 AIRPORT RD, LAKEWOOD, NJ 08701(732) 367-1710(732) 367-7422 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Keryn Shane Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KERYN SHANE LPC (NPI 1053736769) is an individual professional provider in Lakewood, New Jersey, licensed in New Jersey (37PC00438400) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053736769
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS KERYN SHANECredential: LPC
Location Address999 AIRPORT RDLakewood, NJ 08701-5969
Mailing Address516 Bay Ave Ste 3Point Pleasant Beach, NJ 08742-2554 · (732) 575-2317 · Fax (732) 358-0829
Phone(732) 367-1710
Fax(732) 367-7422
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 4, 2014
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1053736769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00438400
999 AIRPORT RD, Lakewood, NJ 08701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Keryn Shane Lpc 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.

PECOS PAC ID244621928
PECOS Enrollment IDI20240416001469
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ETTEL MEISELS
Behavior Analyst
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (732) 217-2621
PLAYTIME OT LLC
Occupational Therapist
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (917) 526-0277
CHAYA RIBIAT MS, BCBA
Behavior Analyst
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (732) 217-2621
NECHAMA BARASH BCBA
Behavior Analyst
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (732) 217-2621
BAILA SCHEINER OTR/L
Occupational Therapist
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (732) 217-2621
TOBY MULLER
Behavior Analyst
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (917) 636-3452
NECHAMA SZKLARZ MSED, BCBA
Behavior Analyst
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (732) 217-2621
RACHEL PARSONS BCBA
Behavior Analyst
999 AIRPORT RD
LAKEWOOD, NJ 08701
Ocean County (845) 213-0495

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 Keryn Shane's NPI number?

The NPI number for Keryn Shane is 1053736769. It was assigned to this individual provider in the NPPES registry on March 4, 2014.

Where is Keryn Shane located?

Keryn Shane practices at 999 Airport Rd, Lakewood, NJ 08701. The listed phone number is (732) 367-1710.

What is Keryn Shane's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Keryn Shane enrolled in Medicare?

Yes. Keryn Shane 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.

When was this NPI record last updated?

The NPPES record for Keryn Shane was last updated on November 16, 2023. 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.