SHAWNA FANNING LMHC, LADC I, CADC
NPI 1386989838
Counselor - Mental Health in Plymouth, MA

Q: What is Shawna Fanning's NPI number?

The NPI number for Shawna Fanning is 1386989838. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Q: What is Shawna Fanning's specialty?

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

Q: Is Shawna Fanning enrolled in Medicare?

No. Shawna Fanning has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shawna Fanning was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 10, 2012Opted out of Medicare · through Jan 12, 2028

310 COURT ST STE 103, PLYMOUTH, MA 02360(339) 526-2109(339) 207-0142 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Feb 4, 2021, Jan 11, 2020 and 4 more (7 updates tracked since 2016).

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About Shawna Fanning Lmhc, Ladc I, Cadc NPPES

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

SHAWNA FANNING LMHC, LADC I, CADC (NPI 1386989838) is an individual mental health provider in Plymouth, Massachusetts, licensed in Massachusetts (9880) and active in the NPI registry since December 2012. She has opted out of Medicare through January 12, 2028.

NPPES Registry Identity

NPI1386989838

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHAWNA FANNINGCredential: LMHC, LADC I, CADC

Location Address310 COURT ST STE 103Plymouth, MA 02360-4372

Mailing Address310 Court St Ste 103Plymouth, MA 02360-4372 · (339) 526-2109 · Fax (339) 207-0142

Phone(339) 526-2109

Fax(339) 207-0142

Sole ProprietorYes

Enumeration DateDecember 10, 2012

Last NPPES UpdateApril 6, 20237 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1386989838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 9880

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 13481 (MA), 0401-2 (MA), 1078AD (MA)

310 COURT ST STE 103, Plymouth, MA 02360

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Shawna Fanning Lmhc, Ladc I, Cadc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 12, 2024 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2024

Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

BISSON WELLNESS, INC.

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