MS. KATHLEEN BRADLEY SHANNON M.A.
NPI 1639480312
Counselor in Black Mountain, NC

Q: What is Kathleen Shannon's NPI number?

The NPI number for Kathleen Shannon is 1639480312. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Q: What is Kathleen Shannon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Kathleen Shannon enrolled in Medicare?

No. Kathleen Shannon has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Shannon was last updated on February 26, 2020. 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.

Active since June 28, 2010Opted out of Medicare · through Apr 1, 2027

15 JANE JACOBS RD STE 102, BLACK MOUNTAIN, NC 28711(828) 243-7988 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2020, Jun 14, 2019 (2 updates tracked since 2019).

On this page

About Ms. Kathleen Bradley Shannon M.a. NPPES

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

MS. KATHLEEN BRADLEY SHANNON M.A. (NPI 1639480312) is an individual counselor in Black Mountain, North Carolina and active in the NPI registry since June 2010. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1639480312

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. KATHLEEN BRADLEY SHANNONCredential: M.A.

Location Address15 JANE JACOBS RD STE 102Black Mountain, NC 28711

Mailing Address964 Holly RdBlack Mountain, NC 28711-9709 · (828) 243-7988

Phone(828) 243-7988

Sole ProprietorYes

Enumeration DateJune 28, 2010

Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration

✔ NPI 1639480312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

15 JANE JACOBS RD STE 102, Black Mountain, NC 28711

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Secondary Practice Location 1

Location 11175 Carondelet DrRichland, WA 99354-3300 · Phone (509) 943-9104

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kathleen Bradley Shannon M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Kathleen Shannon's NPI number?

The NPI number for Kathleen Shannon is 1639480312. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Kathleen Shannon located?

Kathleen Shannon practices at 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711. The listed phone number is (828) 243-7988.

What is Kathleen Shannon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kathleen Shannon enrolled in Medicare?

No. Kathleen Shannon has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kathleen Shannon accept?

Health plans from Blue Cross and Blue Shield of NC list Kathleen Shannon 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 Kathleen Shannon was last updated on February 26, 2020. 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.