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SHANNON LONG LPC
NPI 1184176554
Counselor - Mental Health in Myrtle Beach, SC

Active since November 01, 2016PECOS Enrolled
4015 BELLE TERRE BLVD, MYRTLE BEACH, SC 29579(843) 410-8845 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 8, 2021, Dec 22, 2020, Apr 24, 2018 and 1 more (4 updates tracked since 2016).

About Shannon Long Lpc NPPES

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

SHANNON LONG LPC (NPI 1184176554) is an individual mental health provider in Myrtle Beach, South Carolina, licensed in South Carolina (719396) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1184176554
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON LONGCredential: LPC
Location Address4015 BELLE TERRE BLVDMyrtle Beach, SC 29579-4917
Mailing Address1293 Professional Dr Ste D222Myrtle Beach, SC 29577-5754 · (843) 333-2416
Phone(843) 410-8845
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 1, 2016
Last NPPES UpdateSeptember 8, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1184176554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 719396
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6217 (SC)
4015 BELLE TERRE BLVD, Myrtle Beach, SC 29579
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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)

Shannon Long Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173058096
PECOS Enrollment IDI20241220003131
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 Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arise Counseling And Clinical Services, LLC
Same address
Professional
4015 BELLE TERRE BLVD
Myrtle Beach, SC 29579
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1619564929 (843) 410-8845

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

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

ARISE COUNSELING AND CLINICAL SERVICES, LLC
Counselor (Professional)
4015 BELLE TERRE BLVD
MYRTLE BEACH, SC 29579
Horry County (843) 410-8845

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 Long's NPI number?

The NPI number for Shannon Long is 1184176554. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Shannon Long located?

Shannon Long practices at 4015 Belle Terre Blvd, Myrtle Beach, SC 29579. The listed phone number is (843) 410-8845.

What is Shannon Long's specialty?

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

Is Shannon Long enrolled in Medicare?

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

Which organization bills Medicare for Shannon Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Long reassigns Medicare benefits to Arise Counseling And Clinical Services, LLC (Myrtle Beach, SC). 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 Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Long accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Oscar Health Plan, Inc. and 1 other insurer list Shannon Long 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 Shannon Long was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.