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SHANNON GILLIAN BAZELAIS LPC
NPI 1427612886
Counselor - Professional in Darien, CT

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
30 OLD KINGS HWY S, DARIEN, CT 06820(203) 883-0464 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Gillian Bazelais Lpc NPPES

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

SHANNON GILLIAN BAZELAIS LPC (NPI 1427612886) is an individual professional provider in Darien, Connecticut, licensed in Connecticut (003072) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427612886
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON GILLIAN BAZELAISCredential: LPC
Location Address30 OLD KINGS HWY SDarien, CT 06820-4551
Mailing Address12 Tuttle St Apt 3bStamford, CT 06902-4636 · (203) 832-5661
Phone(203) 883-0464
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 30, 2019
✔ NPI 1427612886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 003072
30 OLD KINGS HWY S, Darien, CT 06820
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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

Shannon Gillian Bazelais Lpc 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 ID7315414935
PECOS Enrollment IDI20260430002612
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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Bazelais reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Darien Wellness
Same address
Mental Health
30 OLD KINGS HWY S
Darien, CT 06820
  • Reassigned Medicare billing, Connecticut enrollment
  • 11 clinicians in this Medicare group
NPI 1710344809 (203) 883-0464

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 20

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

NANCY LEE GRUENER LPC
Counselor (Professional)
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (203) 883-0464
NEW REFLECTIONS COUNSELING, P.A.
Clinic/Center (Mental Health (Including Community Mental Health Center))
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (203) 297-8490
ANN OLIN EPIFANIO LMFT
Marriage & Family Therapist
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (203) 461-5095
PENELOPE WILSON LCSW, ED.M
Social Worker (Clinical)
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (203) 300-6655
ASHLEY DAWN PEACE LPC, LMHC
Counselor (Mental Health)
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (325) 785-5394
MR. CHRISTOPHER CHOLANO LPC
Counselor (Professional)
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (203) 883-0464
YASMINE LENNON
Counselor (Professional)
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (203) 883-0464
CHILD CBT PLLC
Psychologist
30 OLD KINGS HWY S
DARIEN, CT 06820
Western Connecticut Planning Region (203) 547-1017

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 Shannon Bazelais's NPI number?

The NPI number for Shannon Bazelais is 1427612886. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Shannon Bazelais located?

Shannon Bazelais practices at 30 Old Kings Hwy S, Darien, CT 06820. The listed phone number is (203) 883-0464.

What is Shannon Bazelais's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shannon Bazelais enrolled in Medicare?

Yes. Shannon Bazelais 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 Shannon Bazelais's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bazelais reassigns Medicare benefits to Darien Wellness (Darien, CT). 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 Shannon Bazelais'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 Shannon Bazelais was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.