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SHANNON BARBARA MICHELSON
NPI 1114051679
Social Worker - Clinical in San Jose, CA

Active since March 15, 2007PECOS Enrolled
5755 COTTLE RD, SAN JOSE, CA 95123(408) 972-3419 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Barbara Michelson NPPES

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

SHANNON BARBARA MICHELSON (NPI 1114051679) is an individual clinical provider in San Jose, California, licensed in California (LCS21247) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114051679
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON BARBARA MICHELSON
Location Address5755 COTTLE RDSan Jose, CA 95123-3640
Mailing AddressPo Box 5956San Jose, CA 95150-5956 · (408) 972-3419
Phone(408) 972-3419
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1114051679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS21247
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.
5755 COTTLE RD, San Jose, CA 95123
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Barbara Michelson 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 Shannon Michelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
12 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 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 $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 20

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

DR. MELISSA EMMERT PSY.D.
Psychologist (Clinical)
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 472-3095
DR. JIANBO JAMES SONG PHD
Medical Genetics (Clinical Cytogenetics)
5755 COTTLE RD, BUILDING 2 GENETICS
SAN JOSE, CA 95123
Santa Clara County (408) 972-3330
DR. KRISTINA GRACE JOHNSON PH.D.
Psychologist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
MR. YANI BUNDROS LMFT
Marriage & Family Therapist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
MOLLY ROSE ALLGOOD PSYD
Counselor (Mental Health)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (408) 972-3095
CODY LESNIAK
Psychologist (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Santa Clara County (983) 201-2440
GINA LIU
Genetic Counselor, MS
5755 COTTLE RD, BUILDING 1
SAN JOSE, CA 95123
Santa Clara County (408) 972-3300
MS. JAZMINE H JUNG MS
Genetic Counselor, MS
5755 COTTLE RD, BLDG #1
SAN JOSE, CA 95123
Santa Clara County (408) 972-3300

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 Michelson's NPI number?

The NPI number for Shannon Michelson is 1114051679. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Shannon Michelson located?

Shannon Michelson practices at 5755 Cottle Rd, San Jose, CA 95123. The listed phone number is (408) 972-3419.

What is Shannon Michelson's specialty?

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

Is Shannon Michelson enrolled in Medicare?

Yes. Shannon Michelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Michelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Michelson reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). 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 Shannon Michelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Michelson was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.