SHANNON MIGNEAULT
NPI 1528834215
Counselor - Mental Health in Gloversville, NY

Q: What is Shannon Migneault's NPI number?

The NPI number for Shannon Migneault is 1528834215. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Shannon Migneault's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Migneault was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 04, 2023PECOS Enrolled

11-21 BROADWAY ST, GLOVERSVILLE, NY 12078(518) 725-4310 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shannon Migneault NPPES

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

SHANNON MIGNEAULT (NPI 1528834215) is an individual mental health provider in Gloversville, New York and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528834215

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHANNON MIGNEAULT

Location Address11-21 BROADWAY STGloversville, NY 12078-3968

Mailing Address11-21 Broadway StGloversville, NY 12078-3964 · (518) 725-4310

Phone(518) 725-4310

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 4, 2023

NPPES CertifiedDecember 4, 2023

✔ NPI 1528834215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

11-21 BROADWAY ST, Gloversville, NY 12078

Open in Google Maps ↗

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

PECOS PAC ID5991288334

PECOS Enrollment IDI20260313000245

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.

BRITTANY HENNESSEY LMHC

Counselor (Mental Health)