SHANNON REILLY LPC
NPI 1093447765
Counselor - Professional in Ambler, PA

Q: What is Shannon Reilly's NPI number?

The NPI number for Shannon Reilly is 1093447765. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Q: What is Shannon Reilly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Reilly was last updated on February 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2022PECOS EnrolledAccepts Medicare Assignment

156 S BETHLEHEM PIKE, AMBLER, PA 19002(215) 767-7096 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Shannon Reilly Lpc NPPES

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

SHANNON REILLY LPC (NPI 1093447765) is an individual professional provider in Ambler, Pennsylvania, licensed in Pennsylvania (PC014312) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093447765

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHANNON REILLYCredential: LPC

Location Address156 S BETHLEHEM PIKEAmbler, PA 19002-5821

Mailing Address637 Old Elm StConshohocken, PA 19428-1045

Phone(215) 767-7096

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 30, 2022

Last NPPES UpdateFebruary 2, 2023

NPPES CertifiedFebruary 2, 2023

✔ NPI 1093447765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC014312

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC014312 (PA)

156 S BETHLEHEM PIKE, Ambler, PA 19002

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 Reilly 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 ID7214462407

PECOS Enrollment IDI20241125002682

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 15

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

SAMANTHA DUNNUM LCSW

Social Worker (Clinical)