SHANNON MANZ-WALLACE LPC
NPI 1629662408
Counselor - Professional in Ellwood City, PA
About Shannon Manz-wallace Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MANZ-WALLACE LPC (NPI 1629662408) is an individual professional provider in Ellwood City, Pennsylvania, licensed in Pennsylvania (PC012624) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Shannon Manz-wallace Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Manz-wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mc Murray, PA 15317
- Reassigned Medicare billing, Pennsylvania enrollment
- 223 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 Manz-wallace's NPI number?
The NPI number for Shannon Manz-wallace is 1629662408. It was assigned to this individual provider in the NPPES registry on February 23, 2021.
Where is Shannon Manz-wallace located?
Shannon Manz-wallace practices at 527 Hazel Ave, Ellwood City, PA 16117. The listed phone number is (724) 510-6448.
What is Shannon Manz-wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shannon Manz-wallace enrolled in Medicare?
Yes. Shannon Manz-wallace 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 Shannon Manz-wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Manz-wallace reassigns Medicare benefits to New Directions Mental Health, PC (Mc Murray, PA). 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 Manz-wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Manz-wallace was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shannon Manz-Wallace, LPC · NPI 1629662408
Professional provider in Ellwood City, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 23, 2021.
## Identity
- **NPI:** 1629662408 (Entity type: Individual)
- **Enumerated:** February 23, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC012624 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 527 HAZEL AVE, Ellwood City, PA 16117-1010
- **Phone:** (724) 510-6448
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** New Directions Mental Health, PC (NPI 1215904800, Mc Murray, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629662408) · Data from the CMS NPPES public registry.