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SHANNEL PICKENS MS, CCC-SLP
NPI 1669640603
Speech-Language Pathologist in Fayetteville, NC

Active since February 12, 2008Accepts Medicare Assignment
2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 28303(910) 484-1711 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannel Pickens Ms, Ccc-slp NPPES

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

SHANNEL PICKENS MS, CCC-SLP (NPI 1669640603) is an individual speech-language pathologist provider in Fayetteville, North Carolina, licensed in Texas (108662) and active in the NPI registry since February 2008. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1669640603
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNEL PICKENSCredential: MS, CCC-SLP
Location Address2919 BREEZEWOOD AVE STE 101Fayetteville, NC 28303-5283
Mailing Address3118 Nutmeg LnGarland, TX 75044-6172
Phone(910) 484-1711
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 12, 2008
Last NPPES UpdateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1669640603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 108662
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2919 BREEZEWOOD AVE STE 101, Fayetteville, NC 28303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Shannel Pickens Ms, Ccc-slp 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 ID1355825670
PECOS Enrollment IDI20260324003167

Medicare Billing Reassignment

Medicare enrollment records show Shannel Pickens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services, Inc.
64 mi
Physical Therapist
2701 PICKETT RD
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 320 clinicians in this Medicare group
NPI 1104823400 (919) 424-5080

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

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.

JESSIE STEELE
Behavior Technician
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711
ALEXANDRA MEEK
Behavior Technician
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711
TAYLOR FREEMAN
Behavior Technician
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711
ASHLI MOORE
Behavior Technician
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711
MADISON HANSEN
Behavior Technician
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711
LYNETTE WHEELER
Behavior Technician
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711
CRISTINA AUTRY
Behavior Analyst
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711
SHAYLA WRIGHT
Behavior Technician
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 484-1711

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 Shannel Pickens's NPI number?

The NPI number for Shannel Pickens is 1669640603. It was assigned to this individual provider in the NPPES registry on February 12, 2008.

Where is Shannel Pickens located?

Shannel Pickens practices at 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303. The listed phone number is (910) 484-1711.

What is Shannel Pickens's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shannel Pickens enrolled in Medicare?

Yes. Shannel Pickens 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.

Which organization bills Medicare for Shannel Pickens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannel Pickens reassigns Medicare benefits to Legacy Healthcare Services, Inc. (Durham, NC). 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 Shannel Pickens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannel Pickens accept?

Health plans from Blue Cross and Blue Shield of NC list Shannel Pickens 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 Shannel Pickens was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.