SHANNON MAIRE O'DRISCOLL-DOUGLAS LPC
NPI 1700478427
Counselor - Professional in Troy, MO

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
91 TROY SQ STE 101, TROY, MO 63379(888) 403-1071 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Maire O'driscoll-douglas Lpc NPPES

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

SHANNON MAIRE O'DRISCOLL-DOUGLAS LPC (NPI 1700478427) is an individual professional provider in Troy, Missouri, licensed in Missouri (2020042220) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700478427
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON MAIRE O'DRISCOLL-DOUGLASCredential: LPC
Location Address91 TROY SQ STE 101Troy, MO 63379-3228
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 4, 2021
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1700478427 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 MO · 2020042220
91 TROY SQ STE 101, Troy, MO 63379

Other Names 1

Former Name (1)Shannon O'driscoll

Accepted 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

Shannon Maire O'driscoll-douglas Lpc 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 ID9133577463
PECOS Enrollment IDI20231128001382
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 Shannon O'driscoll-douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1032 CROSSWINDS CT
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 968 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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
91 TROY SQ STE 101
TROY, MO 63379
Dental Hygienist
91 TROY SQ STE 101
TROY, MO 63379
Social Worker (Clinical)
91 TROY SQ STE 101
TROY, MO 63379
Social Worker
91 TROY SQ STE 101
TROY, MO 63379
Social Worker (Clinical)
91 TROY SQ STE 101
TROY, MO 63379
Dentist (General Practice)
91 TROY SQ STE 101
TROY, MO 63379
Counselor (Professional)
91 TROY SQ STE 101
TROY, MO 63379
Social Worker (Clinical)
91 TROY SQ STE 101
TROY, MO 63379

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 O'driscoll-douglas's NPI number?

The NPI number for Shannon O'driscoll-douglas is 1700478427. It was assigned to this individual provider in the NPPES registry on February 4, 2021. The provider is also known as Shannon O'driscoll.

Where is Shannon O'driscoll-douglas located?

Shannon O'driscoll-douglas practices at 91 Troy Sq Ste 101, Troy, MO 63379. The listed phone number is (888) 403-1071.

What is Shannon O'driscoll-douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shannon O'driscoll-douglas enrolled in Medicare?

Yes. Shannon O'driscoll-douglas 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 Shannon O'driscoll-douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon O'driscoll-douglas reassigns Medicare benefits to Compass Health, Inc. (Wentzville, MO). 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 O'driscoll-douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon O'driscoll-douglas accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Shannon O'driscoll-douglas 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 O'driscoll-douglas was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.