SHANE ANDREW KAVANAUGH M.S., LMHC
NPI 1356692792
Counselor - Mental Health in Ames, IA

Active since September 25, 2012PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Andrew Kavanaugh M.s., Lmhc NPPES

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

SHANE ANDREW KAVANAUGH M.S., LMHC (NPI 1356692792) is an individual mental health provider in Ames, Iowa, licensed in Iowa (001560) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356692792
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE ANDREW KAVANAUGHCredential: M.S., LMHC
Location Address125 S 3RD STAmes, IA 50010-7042
Mailing Address125 S 3rd StAmes, IA 50010-7042 · (515) 661-4210
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 25, 2012
Last NPPES UpdateMarch 13, 2015
NPI 1356692792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IA · 001560
125 S 3RD ST, Ames, IA 50010

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

Shane Andrew Kavanaugh M.s., Lmhc 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 ID1759804321
PECOS Enrollment IDI20251107002693
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 20

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

Counselor (Mental Health)
125 S 3RD ST
AMES, IA 50010
Counselor (Addiction (Substance Use Disorder))
125 S 3RD ST
AMES, IA 50010
Registered Nurse
125 S 3RD ST
AMES, IA 50010
Counselor (Mental Health)
125 S 3RD ST
AMES, IA 50010
Social Worker
125 S 3RD ST
AMES, IA 50010
Social Worker (Clinical)
125 S 3RD ST
AMES, IA 50010
Counselor (Mental Health)
125 S 3RD ST
AMES, IA 50010
Marriage & Family Therapist
125 S 3RD ST
AMES, IA 50010

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 Kavanaugh's NPI number?

The NPI number for Shane Kavanaugh is 1356692792. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Shane Kavanaugh located?

Shane Kavanaugh practices at 125 S 3rd St, Ames, IA 50010. The listed phone number is (515) 661-4210.

What is Shane Kavanaugh's specialty?

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

Is Shane Kavanaugh enrolled in Medicare?

Yes. Shane Kavanaugh 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 Shane Kavanaugh accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Shane Kavanaugh 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 Shane Kavanaugh was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.