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BRNT SHAFFER PCC
NPI 1538469556
Counselor - Professional in Mansfield, OH

Active since October 25, 2010PECOS EnrolledAccepts Medicare Assignment
151 MARION AVE, MANSFIELD, OH 44903(419) 774-9969(419) 756-5642 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brnt Shaffer Pcc NPPES

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

BRNT SHAFFER PCC (NPI 1538469556) is an individual professional provider in Mansfield, Ohio, licensed in Ohio (E0500030) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1538469556
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRNT SHAFFERCredential: PCC
Location Address151 MARION AVEMansfield, OH 44903-2223
Mailing Address151 Marion AveMansfield, OH 44903-2223 · (419) 774-9969 · Fax (419) 756-5642
Phone(419) 774-9969
Fax(419) 756-5642
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 25, 2010
✔ NPI 1538469556 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 OH · E0500030
151 MARION AVE, Mansfield, OH 44903
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Brnt Shaffer Pcc 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 ID244679942
PECOS Enrollment IDI20240415001104
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 Brnt Shaffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Life Counseling & Psychiatric Services
Same address
Mental Health
151 MARION AVE
Mansfield, OH 44903
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
NPI 1598862641 (419) 774-9969

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.

GARY LEE RUSSELL LPCC-S, LICDC
Counselor (Mental Health)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
PATRICK RAY EUTSEY
Peer Specialist
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
DEBORA VAN ROMER LPC
Counselor (Mental Health)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MEGAN SCHERER
Counselor (Mental Health)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MR. DEAN C DONNAN LICDC
Counselor (Addiction (Substance Use Disorder))
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MARY L. PRYOR LSW
Social Worker (Clinical)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MR. BRANDON STONE CDCA
Counselor (Addiction (Substance Use Disorder))
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
TRAVIS L ONEY PRS
Peer Specialist
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969

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 Brnt Shaffer's NPI number?

The NPI number for Brnt Shaffer is 1538469556. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Brnt Shaffer located?

Brnt Shaffer practices at 151 Marion Ave, Mansfield, OH 44903. The listed phone number is (419) 774-9969.

What is Brnt Shaffer's specialty?

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

Is Brnt Shaffer enrolled in Medicare?

Yes. Brnt Shaffer 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 organization bills Medicare for Brnt Shaffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brnt Shaffer reassigns Medicare benefits to Family Life Counseling & Psychiatric Services (Mansfield, OH). 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 Brnt Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brnt Shaffer accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Paramount list Brnt Shaffer 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 Brnt Shaffer was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.