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SHANNON COLBURN-BLINN LCSW
NPI 1053766782
Social Worker - Clinical in Fort Wayne, IN

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
2200 LAKE AVE, STE 140, FORT WAYNE, IN 46805(260) 471-2300 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2021, Jan 29, 2019 (2 updates tracked since 2019).

About Shannon Colburn-blinn Lcsw NPPES

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

SHANNON COLBURN-BLINN LCSW (NPI 1053766782) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34007964A) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053766782
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON COLBURN-BLINNCredential: LCSW
Location Address2200 LAKE AVE, STE 140Fort Wayne, IN 46805-5351
Mailing Address2250 Lake Ave Ste 110Fort Wayne, IN 46805-5352 · (260) 702-9036 · Fax (260) 423-3312
Phone(260) 471-2300
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 2, 2016
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1053766782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34007964A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 33007280A (IN)
2200 LAKE AVE, Fort Wayne, IN 46805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

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

Shannon Colburn-blinn Lcsw 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 ID4880934090
PECOS Enrollment IDI20190326002742
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
288 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

MRS. CARMA JEAN LINK MSW
Social Worker (Clinical)
2200 LAKE AVE, SUITE 130
FORT WAYNE, IN 46805
Allen County (260) 438-1039
CATES & ASSOCIATES, INC.
Psychologist
2200 LAKE AVE, SUITE 260
FORT WAYNE, IN 46805
Allen County (260) 493-3980
SUE A PUFF MSW, LCSW
Social Worker (Clinical)
2200 LAKE AVE, SUITE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411
DONNA LOUISE BOEGLIN MSW, LCSW
Social Worker (Clinical)
2200 LAKE AVE, SUITE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411
MR. JOHN WHEATON LINK MS LMFT
Marriage & Family Therapist
2200 LAKE AVE, SUITE 130
FORT WAYNE, IN 46805
Allen County (260) 438-9540
MARGARET ANN COOK MSW, LCSW
Social Worker (Clinical)
2200 LAKE AVE, SUITE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411
DR. JAMES ARTHUR CATES PH.D., , HSPP, ABPP
Psychologist
2200 LAKE AVE, SUITE 260
FORT WAYNE, IN 46805
Allen County (260) 493-3980
PHOENIX ASSOCIATES INC.
Social Worker (Clinical)
2200 LAKE AVE, SUITE 260
FORT WAYNE, IN 46805
Allen County (260) 424-0411

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 Shannon Colburn-blinn's NPI number?

The NPI number for Shannon Colburn-blinn is 1053766782. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Shannon Colburn-blinn located?

Shannon Colburn-blinn practices at 2200 Lake Ave Ste 140, Fort Wayne, IN 46805. The listed phone number is (260) 471-2300.

What is Shannon Colburn-blinn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Colburn-blinn enrolled in Medicare?

Yes. Shannon Colburn-blinn 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.

What insurance does Shannon Colburn-blinn accept?

Health plans from CareSource and Providence Health Plan list Shannon Colburn-blinn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Colburn-blinn was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.