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SHAWN COSTA M.A., COUNSELING PSY
NPI 1689210262
Counselor in Worcester, MA

Active since November 19, 2019PECOS Enrolled
411 CHANDLER ST, WORCESTER, MA 01602(508) 799-0688 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shawn Costa M.a., Counseling Psy NPPES

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

SHAWN COSTA M.A., COUNSELING PSY (NPI 1689210262) is an individual counselor in Worcester, Massachusetts and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689210262
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSHAWN COSTACredential: M.A., COUNSELING PSY
Location Address411 CHANDLER STWorcester, MA 01602-3339
Mailing Address2 Clarence StNorth Providence, RI 02904-5602 · (401) 644-1373
Phone(508) 799-0688
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 19, 2019
✔ NPI 1689210262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
411 CHANDLER ST, Worcester, MA 01602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Costa M.a., Counseling Psy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244702744
PECOS Enrollment IDI20260616002375
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 Shawn Costa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mass Behavioral Health Center Inc
1.4 mi
Mental Health (Including Community Mental Health Center)
9 HAMMOND ST
Worcester, MA 01610
  • Reassigned Medicare billing, Massachusetts enrollment
  • 10 clinicians in this Medicare group
NPI 1396328159 (508) 219-7189

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.

ARIELLA EMMANUEL
Counselor (Mental Health)
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (617) 678-7267
MRS. KERRI RYDER PMHCNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
JULIE JUNG
Counselor (Mental Health)
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (774) 823-3600
MRS. SHIVANI PEREIRA NP, MSN
Nurse Practitioner
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 471-5600
MEGAN ELIZABETH YEO LMHC
Community/Behavioral Health
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
MITRA MALEKAFZALY
Counselor
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
FLAVIA COLLETTA LWASA
Nurse Practitioner
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
RACHAEL NALL
Counselor
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688

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 Shawn Costa's NPI number?

The NPI number for Shawn Costa is 1689210262. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Shawn Costa located?

Shawn Costa practices at 411 Chandler St, Worcester, MA 01602. The listed phone number is (508) 799-0688.

What is Shawn Costa's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shawn Costa enrolled in Medicare?

Yes. Shawn Costa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawn Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Costa reassigns Medicare benefits to Mass Behavioral Health Center Inc (Worcester, MA). 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 Shawn Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shawn Costa was last updated on November 19, 2019. 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.