1. Home
  2. Directory
  3. Wisconsin
  4. Elm Grove
  5. Counselor
  6. NPI Profile

MISS SHANNON LEE M.A.
NPI 1205204484
Counselor in Elm Grove, WI

Active since September 04, 2015Opted out of Medicare · through Sep 11, 2026
12970 W BLUEMOUND RD, SUITE 200, ELM GROVE, WI 53122(262) 780-1020(262) 780-1022 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Shannon Lee M.a. NPPES

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

MISS SHANNON LEE M.A. (NPI 1205204484) is an individual counselor in Elm Grove, Wisconsin and active in the NPI registry since September 2015. She has opted out of Medicare through September 11, 2026.

NPPES Registry Identity

NPI1205204484
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMISS SHANNON LEECredential: M.A.
Location Address12970 W BLUEMOUND RD, SUITE 200Elm Grove, WI 53122-2607
Mailing Address12970 W Bluemound Rd., Suite 200Elm Grove, WI 53122-2531 · (262) 780-1020 · Fax (262) 780-1022
Phone(262) 780-1020
Fax(262) 780-1022
Sole ProprietorYes
Enumeration DateSeptember 4, 2015
✔ NPI 1205204484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
12970 W BLUEMOUND RD, Elm Grove, WI 53122
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Miss Shannon Lee M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2024 through September 11, 2026.

Opt-Out Effective DateSeptember 11, 2024
Opt-Out In Effect ThroughSeptember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

DR. IVANNA M RICHARDSON EDD LMFT LPC
Counselor
12970 W BLUEMOUND RD, #105
ELM GROVE, WI 53122
Waukesha County (262) 787-2907
COLEEN RAE KITTLESON LPC, NCC
Counselor (Professional)
12970 W BLUEMOUND RD, 308
ELM GROVE, WI 53122
Waukesha County (262) 780-1020
CHRISTOS MINISTRIES COUNSELING
Social Worker (Clinical)
12970 W BLUEMOUND RD, SUITE 105
ELM GROVE, WI 53122
Waukesha County (262) 787-2904
GARY D HEATH LCSW, LMFT
Marriage & Family Therapist
12970 W BLUEMOUND RD, SUITE 105
ELM GROVE, WI 53122
Waukesha County (262) 787-2904
MR. KENNETH A SIECZKOWSKI CADC-III
Counselor (Addiction (Substance Use Disorder))
12970 W BLUEMOUND RD, 308
ELM GROVE, WI 53122
Waukesha County (262) 780-1020
KENDALL KUHARY MS, LPC, NCC
Counselor (Professional)
12970 W BLUEMOUND RD
ELM GROVE, WI 53122
Waukesha County (262) 780-1020
JAIME KAWCZYNSKI
Counselor (Professional)
12970 W BLUEMOUND RD
ELM GROVE, WI 53122
Waukesha County (262) 780-1020
MR. EVEREST CAMERON BROOKS LCSW
Social Worker (Clinical)
12970 W BLUEMOUND RD, SUITE 105
ELM GROVE, WI 53122
Waukesha County (262) 787-2907

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 Lee's NPI number?

The NPI number for Shannon Lee is 1205204484. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Where is Shannon Lee located?

Shannon Lee practices at 12970 W Bluemound Rd Suite 200, Elm Grove, WI 53122. The listed phone number is (262) 780-1020.

What is Shannon Lee's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shannon Lee enrolled in Medicare?

No. Shannon Lee has opted out of Medicare through September 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shannon Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Shannon Lee 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 Lee was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.