SHANNON E. SHACKFORD LPC
NPI 1669043444
Counselor - Professional in Chesapeake, VA

Active since July 02, 2021PECOS Enrolled
2117 SMITH AVE STE D, CHESAPEAKE, VA 23320(757) 547-9007 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Jul 2, 2021 (2 updates tracked since 2021).

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 and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669043444
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON E. SHACKFORDCredential: LPC
Location Address2117 SMITH AVE STE DChesapeake, VA 23320-2519
Mailing Address2117 Smith Ave Ste BChesapeake, VA 23320-2519 · (757) 547-9007
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2021
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
NPI 1669043444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701015072
2117 SMITH AVE STE D, Chesapeake, VA 23320

Other Identifiers 1

Other0701015072VA · Licensed Professional Couselor

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)

Shannon E. Shackford Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426528506
PECOS Enrollment IDI20260529002146
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 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.

What insurance does Shannon Shackford accept?

Health plans from 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 12 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.