SHANALEE J BRANHAM
NPI 1164844551
Counselor - Professional in South Shore, KY

Active since January 20, 2014PECOS EnrolledAccepts Medicare Assignment
472 MAIN ST, SOUTH SHORE, KY 41175(866) 233-1955(606) 783-9952 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Dec 12, 2023, Sep 18, 2019 and 1 more (4 updates tracked since 2016).

About Shanalee J Branham NPPES

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

SHANALEE J BRANHAM (NPI 1164844551) is an individual professional provider in South Shore, Kentucky, licensed in Kentucky (166702) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164844551
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANALEE J BRANHAM
Location Address472 MAIN STSouth Shore, KY 41175-9558
Mailing AddressPo Box 790Ashland, KY 41105-0790 · (606) 329-8588 · Fax (606) 329-8195
Fax(606) 783-9952
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 20, 2014
Last NPPES UpdateFebruary 28, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1164844551 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 KY · 166702
472 MAIN ST, South Shore, KY 41175

Other Identifiers 1

Medicaid30610026KY

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

Shanalee J Branham 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 ID7113379413
PECOS Enrollment IDI20240123002155
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 2

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

Counselor (Addiction (Substance Use Disorder))
472 MAIN ST
SOUTH SHORE, KY 41175
Peer Specialist
472 MAIN ST
SOUTH SHORE, KY 41175

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 Shanalee Branham's NPI number?

The NPI number for Shanalee Branham is 1164844551. It was assigned to this individual provider in the NPPES registry on January 20, 2014.

Where is Shanalee Branham located?

Shanalee Branham practices at 472 Main St, South Shore, KY 41175. The listed phone number is (866) 233-1955.

What is Shanalee Branham's specialty?

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

Is Shanalee Branham enrolled in Medicare?

Yes. Shanalee Branham 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.

When was this NPI record last updated?

The NPPES record for Shanalee Branham was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.