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MRS. SHANNON KOHLENBERG CAMPBELL LCSW
NPI 1609414200
Social Worker - Clinical in Fort Worth, TX

Active since December 13, 2019PECOS Enrolled
5562 MESA VERDE CT, FORT WORTH, TX 76137(575) 693-3798 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Shannon Kohlenberg Campbell Lcsw NPPES

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

MRS. SHANNON KOHLENBERG CAMPBELL LCSW (NPI 1609414200) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (58967) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609414200
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANNON KOHLENBERG CAMPBELLCredential: LCSW
Location Address5562 MESA VERDE CTFort Worth, TX 76137-4438
Mailing Address5562 Mesa Verde CtFort Worth, TX 76137-4438 · (575) 693-3798
Phone(575) 693-3798
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 13, 2019
✔ NPI 1609414200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 58967
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5562 MESA VERDE CT, Fort Worth, TX 76137
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company 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 (PECOS)

Mrs. Shannon Kohlenberg Campbell Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527494038
PECOS Enrollment IDI20200131001549
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 Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skc Therapy Services PLLC
28 mi
Clinical
255 W LEBANON STE 224
Frisco, TX 75036
  • Reassigned Medicare billing, Texas enrollment
NPI 1093433989 (830) 237-0599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
256 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Campbell's NPI number?

The NPI number for Shannon Campbell is 1609414200. It was assigned to this individual provider in the NPPES registry on December 13, 2019.

Where is Shannon Campbell located?

Shannon Campbell practices at 5562 Mesa Verde Ct, Fort Worth, TX 76137. The listed phone number is (575) 693-3798.

What is Shannon Campbell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Campbell enrolled in Medicare?

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

Which organization bills Medicare for Shannon Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Campbell reassigns Medicare benefits to Skc Therapy Services PLLC (Frisco, TX). 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 Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Campbell accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Shannon Campbell 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 Campbell was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.