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

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: November 01, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Mental Health
1182 TROY SCHENECTADY RD STE 204
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 15 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)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Community/Behavioral Health
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Nurse Practitioner (Psychiatric/Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078

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 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.

Where is Shannon Migneault located?

Shannon Migneault practices at 11-21 Broadway St, Gloversville, NY 12078. The listed phone number is (518) 725-4310.

What is Shannon Migneault's specialty?

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

Is Shannon Migneault enrolled in Medicare?

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

Which organization bills Medicare for Shannon Migneault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Migneault reassigns Medicare benefits to Katie Mclean Mental Health Counseling PLLC (Latham, NY). 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 Migneault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Migneault accept?

Health plans from Oscar Health list Shannon Migneault 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 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.