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: November 01, 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
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

Accepted Insurance

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Ellison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Colorado enrollment
  • 23 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Kentucky and Virginia enrollments
  • 16 clinicians in this Medicare group

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.

Counselor (Mental Health)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Social Worker (Clinical)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Counselor (Professional)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Social Worker (Clinical)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Psychologist (Clinical)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Art Therapist
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Counselor (Mental Health)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3121 BROOKLAWN CAMPUS DR
LOUISVILLE, KY 40218

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.

Which organizations bill Medicare for Shannon Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ellison reassigns Medicare benefits to 2 organizations: Talkspace Provider Network Co, PC (New York, NY) and Talkspace Provider Network PA (New York, NY). Each 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 Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Ellison accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and UnitedHealthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.