SHANE PATRICK HURLEY LP MHC
NPI 1336893932
Counselor - Mental Health in Clifton Park, NY
About Shane Patrick Hurley Lp Mhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE PATRICK HURLEY LP MHC (NPI 1336893932) is an individual mental health provider in Clifton Park, New York and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Shane Patrick Hurley Lp Mhc 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 Shane Hurley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Queensbury, NY 12804
- Reassigned Medicare billing, New York enrollment
- 107 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shane Hurley's NPI number?
The NPI number for Shane Hurley is 1336893932. It was assigned to this individual provider in the NPPES registry on February 11, 2022.
Where is Shane Hurley located?
Shane Hurley practices at 636 Plank Rd, Clifton Park, NY 12065. The listed phone number is (518) 545-4691.
What is Shane Hurley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shane Hurley enrolled in Medicare?
Yes. Shane Hurley 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 Shane Hurley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Hurley reassigns Medicare benefits to Behavioral Health Services North, Inc. (Queensbury, NY). 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 Shane Hurley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shane Hurley was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shane Patrick Hurley, LP MHC · NPI 1336893932
Mental Health provider in Clifton Park, New York. Individual provider, active in the CMS NPPES registry since February 11, 2022.
## Identity
- **NPI:** 1336893932 (Entity type: Individual)
- **Enumerated:** February 11, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 636 PLANK RD, Clifton Park, NY 12065-2046
- **Phone:** (518) 545-4691
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Behavioral Health Services North, Inc. (NPI 1447005541, Queensbury, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336893932) · Data from the CMS NPPES public registry.