KATHLEEN SHAUGHNESSY
NPI 1669002796
Counselor - Mental Health in Orange, NJ

Q: What is Kathleen Shaughnessy's NPI number?

The NPI number for Kathleen Shaughnessy is 1669002796. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Q: What is Kathleen Shaughnessy's specialty?

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

Active since January 16, 2020PECOS EnrolledAccepts Medicare Assignment

395 S CENTER ST, ORANGE, NJ 07050(862) 253-4422 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kathleen Shaughnessy NPPES

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

KATHLEEN SHAUGHNESSY (NPI 1669002796) is an individual mental health provider in Orange, New Jersey, licensed in New Jersey (37AC00334300) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669002796

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKATHLEEN SHAUGHNESSY

Location Address395 S CENTER STOrange, NJ 07050-3205

Mailing Address26 Beaumont Pl Apt 3hNewark, NJ 07104-1657 · (308) 884-5852

Phone(862) 253-4422

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 16, 2020

✔ NPI 1669002796 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 NJ · 37AC00334300

395 S CENTER ST, Orange, NJ 07050

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Kathleen Shaughnessy 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.

PECOS PAC ID6901255819

PECOS Enrollment IDI20231218000139

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 Kathleen Shaughnessy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Theracorp, LLC

30 mi

Clinical

79 E RAILROAD AVE
Jamesburg, NJ 08831

Reassigned Medicare billing, New Jersey enrollment
25 clinicians in this Medicare group

NPI 1063947828 (732) 561-8555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

130 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHEVELLE EDWARDS

Social Worker