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MRS. SHANNON ELIZABETH BLACK M.ED
NPI 1649668567
Counselor - Mental Health in Cornersville, TN

Active since December 30, 2014PECOS Enrolled
323 S MAIN ST, CORNERSVILLE, TN 37047(615) 790-0567 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Shannon Elizabeth Black M.ed NPPES

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

MRS. SHANNON ELIZABETH BLACK M.ED (NPI 1649668567) is an individual mental health provider in Cornersville, Tennessee and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Franklin.

NPPES Registry Identity

NPI1649668567
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SHANNON ELIZABETH BLACKCredential: M.ED
Location Address323 S MAIN STCornersville, TN 37047-4228
Mailing Address143 Se Parkway CtFranklin, TN 37064-3968 · (615) 790-0567
Phone(615) 790-0567
Sole ProprietorNo
Enumeration DateDecember 30, 2014
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1649668567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
323 S MAIN ST, Cornersville, TN 37047
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Secondary Practice Location 1

Location 1143 SE Parkway CtFranklin, TN 37064-3968 · Phone (615) 790-0567

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 Elizabeth Black M.ed 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 Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Services, Inc.
37 mi
Federally Qualified Health Center (FQHC)
143 SE PARKWAY COURT
Franklin, TN 37064
  • Reassigned Medicare billing, Tennessee enrollment
  • 57 clinicians in this Medicare group
NPI 1952480501 (615) 790-0567

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 Black's NPI number?

The NPI number for Shannon Black is 1649668567. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is Shannon Black located?

Shannon Black practices at 323 S Main St, Cornersville, TN 37047. The listed phone number is (615) 790-0567.

What is Shannon Black's specialty?

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

Is Shannon Black enrolled in Medicare?

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

Which organization bills Medicare for Shannon Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Black reassigns Medicare benefits to Mercy Health Services, Inc. (Franklin, TN). 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 Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Black accept?

Health plans from BlueCross BlueShield of Tennessee list Shannon Black 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 Black was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.