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: August 09, 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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Shannon Black accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare 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 8 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.