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

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: August 02, 2026.

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 Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817
BRENNAN L DECKARD
Social Worker
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817
WANDA BRUN LSW
Social Worker (Clinical)
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817
JESTINA MAE MORGAN
Social Worker
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817
MR. SCOTT ROGOVIN LCSW
Social Worker (Clinical)
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817
KENNY J CASADO
Social Worker
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817
ISABELLA ARENAS
Social Worker
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817
JANE ALISON PENOLA LAC
Counselor
395 S CENTER ST
ORANGE, NJ 07050
Essex County (973) 675-3817

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 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.

Where is Kathleen Shaughnessy located?

Kathleen Shaughnessy practices at 395 S Center St, Orange, NJ 07050. The listed phone number is (862) 253-4422.

What is Kathleen Shaughnessy's specialty?

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

Is Kathleen Shaughnessy enrolled in Medicare?

Yes. Kathleen Shaughnessy 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.

What insurance does Kathleen Shaughnessy accept?

Health plans from Providence Health Plan list Kathleen Shaughnessy 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 Shaughnessy was last updated on January 16, 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.