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SHANNON KOHNKE
NPI 1508371261
Counselor in Worcester, MA

Active since December 04, 2017PECOS Enrolled
585 LINCOLN ST, WORCESTER, MA 01605(508) 762-1931(781) 890-2624 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 2, 2021, Dec 4, 2017 (2 updates tracked since 2017).

About Shannon Kohnke NPPES

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

SHANNON KOHNKE (NPI 1508371261) is an individual counselor in Worcester, Massachusetts and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508371261
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON KOHNKE
Location Address585 LINCOLN STWorcester, MA 01605-1906
Mailing Address10 Mechanic St Ste 302Worcester, MA 01608-2419 · (508) 792-5400 · Fax (508) 831-0074
Phone(508) 762-1931
Fax(781) 890-2624
Sole ProprietorNo
Enumeration DateDecember 4, 2017
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1508371261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
585 LINCOLN ST, Worcester, MA 01605
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Kohnke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

GABRIELLE BUSCHALLA
Counselor (Addiction (Substance Use Disorder))
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 831-0045
LYNN GALVIN
Physician Assistant
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (800) 464-9555
NANA G. AFREH
Counselor
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 831-0045
LEXIE FORD-CLOTTEY MA
Counselor
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 831-0045
TAYLIN O'COIN MA
Counselor
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 831-0045
MRS. LINDSAY JEANNE STER M.ED
Counselor (Addiction (Substance Use Disorder))
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 831-0045
ALEXA BURNHAM LMHC
Counselor
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 854-3320
JAYSON HIDALGO
Counselor
585 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 831-0045

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 Kohnke's NPI number?

The NPI number for Shannon Kohnke is 1508371261. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Shannon Kohnke located?

Shannon Kohnke practices at 585 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 762-1931.

What is Shannon Kohnke's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shannon Kohnke enrolled in Medicare?

Yes. Shannon Kohnke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Kohnke was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.