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KENDRA ANN SHOUP
NPI 1164721155
Counselor - Professional in Lorain, OH

Active since March 16, 2011PECOS Enrolled
6140 S BROADWAY, LORAIN, OH 44053(440) 233-7232(440) 282-4779 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kendra Ann Shoup NPPES

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

KENDRA ANN SHOUP (NPI 1164721155) is an individual professional provider in Lorain, Ohio, licensed in Ohio (E.0900277-SUPV) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164721155
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENDRA ANN SHOUP
Location Address6140 S BROADWAYLorain, OH 44053-3821
Mailing Address6140 S BroadwayLorain, OH 44053-3821 · (440) 233-7232 · Fax (440) 282-4779
Phone(440) 233-7232
Fax(440) 282-4779
Sole ProprietorYes
Enumeration DateMarch 16, 2011
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1164721155 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 OH · E.0900277-SUPV
6140 S BROADWAY, Lorain, OH 44053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Ann Shoup 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 Reassignments

2

Medicare enrollment records show Kendra Shoup reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riveon Mental Health And Recovery
Same address
Primary Care
6140 S BROADWAY
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1376234914 (440) 233-7232
Catholic Charities Corporation
24 mi
Rehabilitation, Substance Use Disorder
6753 STATE RD
Parma, OH 44134
  • Reassigned Medicare billing, Ohio enrollment
  • 39 clinicians in this Medicare group
NPI 1659328771 (216) 391-2030

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 20

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

MRS. JAMILLET TORRES
Case Manager/Care Coordinator
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 233-7232
MELANIE AUXTER
Case Manager/Care Coordinator
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 204-4152
GRACE CATHRYN FORD
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 233-7232
EDWARD KRAUSE LSW
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 233-7232
LAURA WALKER LSW
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 233-7232
PATRICIA ANN BENEVENTO LPN
Licensed Practical Nurse
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 233-7232
BETHANY SAMSA LSW
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 370-5699
AMANDA RENEE SAUVEY
Case Manager/Care Coordinator
6140 S BROADWAY
LORAIN, OH 44053
Lorain County (440) 233-7232

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 Kendra Shoup's NPI number?

The NPI number for Kendra Shoup is 1164721155. It was assigned to this individual provider in the NPPES registry on March 16, 2011.

Where is Kendra Shoup located?

Kendra Shoup practices at 6140 S Broadway, Lorain, OH 44053. The listed phone number is (440) 233-7232.

What is Kendra Shoup's specialty?

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

Is Kendra Shoup enrolled in Medicare?

Yes. Kendra Shoup is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kendra Shoup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Shoup reassigns Medicare benefits to 2 organizations: Riveon Mental Health And Recovery (Lorain, OH) and Catholic Charities Corporation (Parma, OH). Each 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 Kendra Shoup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Shoup accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Kendra Shoup 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 Kendra Shoup was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.