SHANNON ROOSMA LPC
NPI 1225655848
Counselor - Professional in Salem, VA

Active since June 30, 2020PECOS EnrolledAccepts Medicare Assignment
2212 MULBERRY ST, SALEM, VA 24153(434) 665-1800 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Roosma Lpc NPPES

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

SHANNON ROOSMA LPC (NPI 1225655848) is an individual professional provider in Salem, Virginia, licensed in Virginia (0701008223) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225655848
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON ROOSMACredential: LPC
Location Address2212 MULBERRY STSalem, VA 24153-6013
Mailing Address2212 Mulberry StSalem, VA 24153-6013 · (434) 665-1800
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 30, 2020
NPPES CertifiedJune 30, 2020
NPI 1225655848 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 VA · 0701008223
2212 MULBERRY ST, Salem, VA 24153

Other Names 1

Former Name (1)Shannon Kinzie

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Roosma 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 ID9335591106
PECOS Enrollment IDI20240117001732
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

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 Roosma's NPI number?

The NPI number for Shannon Roosma is 1225655848. It was assigned to this individual provider in the NPPES registry on June 30, 2020. The provider is also known as Shannon Kinzie.

Where is Shannon Roosma located?

Shannon Roosma practices at 2212 Mulberry St, Salem, VA 24153. The listed phone number is (434) 665-1800.

What is Shannon Roosma's specialty?

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

Is Shannon Roosma enrolled in Medicare?

Yes. Shannon Roosma 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 Roosma accept?

Health plans from Providence Health Plan list Shannon Roosma 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 Roosma was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.