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SHAWNA OTIS MS, LCMHC
NPI 1104515394
Counselor - Mental Health in Manchester, NH

Active since May 03, 2023PECOS Enrolled
25 SUNDIAL AVE STE 310W, MANCHESTER, NH 03103(603) 634-9471(603) 676-2173 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, May 3, 2023 (2 updates tracked since 2023).

About Shawna Otis Ms, Lcmhc NPPES

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

SHAWNA OTIS MS, LCMHC (NPI 1104515394) is an individual mental health provider in Manchester, New Hampshire, licensed in New Hampshire (2469) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104515394
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAWNA OTISCredential: MS, LCMHC
Location Address25 SUNDIAL AVE STE 310WManchester, NH 03103-7244
Mailing Address25 Sundial Ave Ste 310wManchester, NH 03103-7244 · (603) 634-9471 · Fax (603) 676-2173
Phone(603) 634-9471
Fax(603) 676-2173
Sole ProprietorNo
Enumeration DateMay 3, 2023
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1104515394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NH · 2469
25 SUNDIAL AVE STE 310W, Manchester, NH 03103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawna Otis Ms, Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shawna Otis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jtsj1 Enterprises LLC
Same address
Mental Health
25 SUNDIAL AVE STE 310W
Manchester, NH 03103
  • Reassigned Medicare billing, New Hampshire enrollment
  • 14 clinicians in this Medicare group
NPI 1801589759 (207) 303-7444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

EMILY TURCOTTE LICSW
Social Worker (Clinical)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (603) 634-9471
PAMELA JEAN HUNTRESS MSW
Social Worker (Clinical)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (603) 634-9471
FELICITY BERNARD MA, LCMHC
Counselor (Mental Health)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (603) 634-9471
MARIANNE LEE WILSON MA, LCMHC
Counselor (Mental Health)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (603) 634-9471
MS. AMY E LEWIS MA, LCMHC
Counselor (Mental Health)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (603) 634-9471
KIMBERLY ANN MERRILL MS, LCMHC
Counselor (Mental Health)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (603) 634-9471
MONICA BALLARANO MSW
Social Worker (Clinical)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (603) 634-9471
JTSJ1 ENTERPRISES LLC
Counselor (Mental Health)
25 SUNDIAL AVE STE 310W
MANCHESTER, NH 03103
Hillsborough County (207) 303-7444

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 Shawna Otis's NPI number?

The NPI number for Shawna Otis is 1104515394. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Shawna Otis located?

Shawna Otis practices at 25 Sundial Ave Ste 310W, Manchester, NH 03103. The listed phone number is (603) 634-9471.

What is Shawna Otis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shawna Otis enrolled in Medicare?

Yes. Shawna Otis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawna Otis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawna Otis reassigns Medicare benefits to Jtsj1 Enterprises LLC (Manchester, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawna Otis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawna Otis accept?

Health plans from Ambetter from NH Healthy Families and Taro Health list Shawna Otis 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 Shawna Otis was last updated on May 16, 2024. 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.