SHANNON TENNILLE SMITH MED.
NPI 1396156915
Counselor - Professional in Somerset, KY

NPI Status: Active since May 16, 2014

Contact Information

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501
Phone: (606) 679-1815
Fax: (606) 451-1631

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  • Individual
  • Female
  • Counselor
  • Professional
  • PECOS Enrolled

About SHANNON SMITH

This page provides the complete NPI Profile along with additional information for Shannon Smith, a provider established in Somerset, Kentucky with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1396156915 assigned on May 2014. The practitioner's primary taxonomy code is 101YP2500X with license number KY-0561 (KY). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1396156915
Provider Name
SHANNON TENNILLE SMITH MED.
Gender
Female
Entity Type
Individual
Location Address
3540 S HIGHWAY 27 STE 4 SOMERSET, KY 42501
Location Phone
(606) 679-1815
Location Fax
(606) 451-1631
Mailing Address
3540 S HIGHWAY 27 STE 4 SOMERSET, KY 42501
Mailing Phone
(606) 679-1815
Mailing Fax
(606) 451-1631
Is Sole Proprietor?
No
Enumeration Date
05-16-2014
Last Update Date
06-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
KY-0561
License State
KY

Medicare Participation & PECOS Enrollment Status

Shannon Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396156915
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186251292
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 5 + 1 + 2 + 9 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1396156915 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

LILLIAN HOLLARS

Counselor

(Mental Health)

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

NADENE MARIE SPIVEY MA, LPCA

Counselor

(Mental Health)

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

LINDA RUSSELL LCSW

Social Worker

(Clinical)

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

STACI HUBBARD LPCA

Counselor

(Mental Health)

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

SHERRY DAWN MADDOX LPCC

Counselor

(Mental Health)

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

AMY LEIGH WHITAKER-SOEHNLEIN

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

AMBER DAWN MOUNCE BA

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

JESSICA LEE STEVENSON MA

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

CHIP MATTHEW ZELLER BS

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

SHELBY LYNN ACEY HONAKER BSW

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

BRANDI LEANN FRAZIER MSW

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

KYLIE BRIANNA WARREN

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

SHAWNA RAELYN ROSE

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

HALA NASSER AYYASH

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

MACKENZIE NICOLE CROSS

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

EMILY NICOLE IDLEWINE LPCA

Counselor

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

ADAM LANE PFEIFFER

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

LEE ANNE DISHMAN MASTER OF ARTS

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

TODD DAVID UNTHANK

Case Manager/Care Coordinator

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

PAIGE MARIE PAULEY LPCC-S, NCC

Counselor

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501

(606) 679-1815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396156915, enumerated as an "individual" on May 16, 2014.

The provider is located at 3540 S HIGHWAY 27 STE 4 SOMERSET, KY 42501 and the phone number is (606) 679-1815.

Counselor with taxonomy code 101YP2500X and a focus in Professional.