SHANNON KILEY LMHC
NPI 1609582071
Counselor - Mental Health in Michigan City, IN

Active since January 27, 2023PECOS Enrolled
714 DEWEY ST, MICHIGAN CITY, IN 46360(219) 861-3937 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Kiley Lmhc NPPES

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

SHANNON KILEY LMHC (NPI 1609582071) is an individual mental health provider in Michigan City, Indiana, licensed in Indiana (39004354A) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609582071
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON KILEYCredential: LMHC
Location Address714 DEWEY STMichigan City, IN 46360-5543
Mailing Address714 Dewey StMichigan City, IN 46360-5543 · (219) 861-3937
Sole ProprietorNo
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1609582071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39004354A
714 DEWEY ST, Michigan City, IN 46360

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 Kiley Lmhc 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.

Medicare Billing Reassignment

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

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Indiana enrollment
  • 417 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.

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 Kiley's NPI number?

The NPI number for Shannon Kiley is 1609582071. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Shannon Kiley located?

Shannon Kiley practices at 714 Dewey St, Michigan City, IN 46360. The listed phone number is (219) 861-3937.

What is Shannon Kiley's specialty?

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

Is Shannon Kiley enrolled in Medicare?

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

Which organization bills Medicare for Shannon Kiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kiley reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Kiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Kiley accept?

Health plans from Anthem Blue Cross and Blue Shield and Cigna Healthcare list Shannon Kiley 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 Kiley was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.