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MRS. SHANNON NICOLE ELLISON
NPI 1437572146
Counselor - Professional in Louisville, KY

Active since January 31, 2014PECOS EnrolledAccepts Medicare Assignment
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218(502) 451-5177 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Shannon Nicole Ellison NPPES

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

MRS. SHANNON NICOLE ELLISON (NPI 1437572146) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (KY-1355) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1437572146
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANNON NICOLE ELLISON
Location Address3121 BROOKLAWN CAMPUS DRLouisville, KY 40218-1282
Mailing Address4532 Pulaski CtLouisville, KY 40245-1839
Phone(502) 451-5177
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 31, 2014
✔ NPI 1437572146 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 KY · KY-1355
3121 BROOKLAWN CAMPUS DR, Louisville, KY 40218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Mrs. Shannon Nicole Ellison 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 ID9133640519
PECOS Enrollment IDI20250303001649
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.

MEGAN MCMILLEN LPCC
Counselor (Mental Health)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 212-8360
MS. CARLEIGH O'NEAL CSW
Social Worker (Clinical)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 451-5177
ANDREA WHITNEY POLK LPCC
Counselor (Professional)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 451-5177
USPIRITUS.INC
Social Worker (Clinical)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 451-5177
KIMBERLY A JANISZEWSKI PSYD
Psychologist (Clinical)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 451-5177
BRIDGETTE A BOWEN M.ED., LPAT, ATR-BC
Art Therapist
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 451-5177
EMILY O'BRIEN
Counselor (Mental Health)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 451-5177
PUKUR N PATEL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Jefferson County (502) 451-5177

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 Ellison's NPI number?

The NPI number for Shannon Ellison is 1437572146. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Shannon Ellison located?

Shannon Ellison practices at 3121 Brooklawn Campus Dr, Louisville, KY 40218. The listed phone number is (502) 451-5177.

What is Shannon Ellison's specialty?

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

Is Shannon Ellison enrolled in Medicare?

Yes. Shannon Ellison 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 Shannon Ellison accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Shannon Ellison 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 Shannon Ellison was last updated on January 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.