SHANE PATRICK HURLEY LP MHC
NPI 1336893932
Counselor - Mental Health in Clifton Park, NY

Active since February 11, 2022PECOS EnrolledAccepts Medicare Assignment
636 PLANK RD, CLIFTON PARK, NY 12065(518) 545-4691 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1336893932
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE PATRICK HURLEYCredential: LP MHC
Location Address636 PLANK RDClifton Park, NY 12065-2046
Mailing Address104 W Sunnyside Way Apt 223Troy, NY 12180-1495 · (585) 435-7080
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
NPI 1336893932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
636 PLANK RD, Clifton Park, NY 12065

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

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.

PECOS PAC ID3476090085
PECOS Enrollment IDI20240731004023
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 8

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

Counselor (Mental Health)
636 PLANK RD
CLIFTON PARK, NY 12065
Psychologist
636 PLANK RD, SUITE # 200
CLIFTON PARK, NY 12065
Psychologist
636 PLANK RD, SUITE 107A
CLIFTON PARK, NY 12065
Counselor (Mental Health)
636 PLANK RD
CLIFTON PARK, NY 12065
Counselor (Mental Health)
636 PLANK RD
CLIFTON PARK, NY 12065
Counselor (Mental Health)
636 PLANK RD
CLIFTON PARK, NY 12065
Counselor (Mental Health)
636 PLANK RD
CLIFTON PARK, NY 12065
Counselor (Mental Health)
636 PLANK RD
CLIFTON PARK, NY 12065

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.

When was this NPI record last updated?

The NPPES record for Shane Hurley was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.