SHANNON E. SHACKFORD LPC
NPI 1669043444
Counselor - Professional in Chesapeake, VA
About Shannon E. Shackford Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON E. SHACKFORD LPC (NPI 1669043444) is an individual professional provider in Chesapeake, Virginia, licensed in Virginia (0701015072) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chesapeake, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon E. Shackford Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Shackford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 clinicians in this Medicare group
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 Shackford's NPI number?
The NPI number for Shannon Shackford is 1669043444. It was assigned to this individual provider in the NPPES registry on July 2, 2021.
Where is Shannon Shackford located?
Shannon Shackford practices at 2117 Smith Ave Ste D, Chesapeake, VA 23320. The listed phone number is (757) 547-9007.
What is Shannon Shackford's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shannon Shackford enrolled in Medicare?
Yes. Shannon Shackford is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Shackford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Shackford reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Shackford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Shackford accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and UnitedHealthcare list Shannon Shackford 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 Shackford was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shannon E. Shackford, LPC · NPI 1669043444
Professional provider in Chesapeake, Virginia. Individual provider, active in the CMS NPPES registry since July 2, 2021.
## Identity
- **NPI:** 1669043444 (Entity type: Individual)
- **Enumerated:** July 2, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701015072 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2117 SMITH AVE STE D, Chesapeake, VA 23320-2519
- **Phone:** (757) 547-9007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 13, 2025
- **Other identifiers:** Other 0701015072 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669043444) · Data from the CMS NPPES public registry.