SHANNON OTTO MA, NCC, LPC
NPI 1215505417
Counselor - Mental Health in Drums, PA

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
13 RICCARDI DR, DRUMS, PA 18222(570) 582-6562 Get Directions Write a Review

NPPES record last updated: February 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 25, 2023, Jun 14, 2021 (2 updates tracked since 2021).

About Shannon Otto Ma, Ncc, Lpc NPPES

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

SHANNON OTTO MA, NCC, LPC (NPI 1215505417) is an individual mental health provider in Drums, Pennsylvania and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215505417
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON OTTOCredential: MA, NCC, LPC
Location Address13 RICCARDI DRDrums, PA 18222-2747
Mailing Address13 Riccardi DrDrums, PA 18222-2747 · (570) 582-6562 · Fax (484) 633-9153
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 14, 2021
Last NPPES UpdateFebruary 17, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2024
NPI 1215505417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13 RICCARDI DR, Drums, PA 18222

Accepted Insurance

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

Shannon Otto Ma, Ncc, Lpc 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 ID9739621327
PECOS Enrollment IDI20240611002451
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

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

Counselor (Mental Health)
13 RICCARDI DR
DRUMS, PA 18222

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 Otto's NPI number?

The NPI number for Shannon Otto is 1215505417. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Shannon Otto located?

Shannon Otto practices at 13 Riccardi Dr, Drums, PA 18222. The listed phone number is (570) 582-6562.

What is Shannon Otto's specialty?

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

Is Shannon Otto enrolled in Medicare?

Yes. Shannon Otto 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.

What insurance does Shannon Otto accept?

Health plans from Providence Health Plan list Shannon Otto 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 Otto was last updated on February 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.