SHANNON ROOSMA LPC
NPI 1225655848
Counselor - Professional in Salem, VA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Roosma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24504
- Reassigned Medicare billing, Virginia enrollment
- 302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Shannon Roosma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Roosma reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Roosma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Roosma accept?
Health plans from Oscar Health 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.
# Shannon Roosma, LPC · NPI 1225655848
Professional provider in Salem, Virginia. Individual provider, active in the CMS NPPES registry since June 30, 2020.
## Identity
- **NPI:** 1225655848 (Entity type: Individual)
- **Enumerated:** June 30, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701008223 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2212 MULBERRY ST, Salem, VA 24153-6013
- **Phone:** (434) 665-1800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1225655848) · Data from the CMS NPPES public registry.