MR. SHANNON PAUL WEISZ PSYD, LAC
NPI 1730254418
Psychologist in Bismarck, ND

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
309 N MANDAN ST, SUITE #1, BISMARCK, ND 58501(701) 323-0924(701) 323-0935 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Shannon Paul Weisz Psyd, Lac NPPES

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

MR. SHANNON PAUL WEISZ PSYD, LAC (NPI 1730254418) is an individual psychologist in Bismarck, North Dakota, licensed in North Dakota (470) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730254418
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. SHANNON PAUL WEISZCredential: PSYD, LAC
Location Address309 N MANDAN ST, SUITE #1Bismarck, ND 58501-3886
Mailing Address309 N Mandan St, Suite #1Bismarck, ND 58501-3886 · (701) 323-0924 · Fax (701) 323-0935
Fax(701) 323-0935
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 22, 2014
✔ NPI 1730254418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in ND · 470
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1549 (ND)
309 N MANDAN ST, Bismarck, ND 58501

Other Identifiers 2

Medicaid17326ND
Medicare PINN718348ND

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

Mr. Shannon Paul Weisz Psyd, Lac 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 ID4587817465
PECOS Enrollment IDI20121228000108
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 Reassignments

2

Medicare enrollment records show Shannon Weisz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
309 N MANDAN ST STE 1
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • 7 clinicians in this Medicare group
Psychologist
425 E AVENUE C
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • 5 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
158 services13 patients

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
309 N MANDAN ST
BISMARCK, ND 58501
Home Health
309 N MANDAN ST
BISMARCK, ND 58501
Psychologist (Clinical)
309 N MANDAN ST, SUITE #1
BISMARCK, ND 58501

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 Weisz's NPI number?

The NPI number for Shannon Weisz is 1730254418. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Shannon Weisz located?

Shannon Weisz practices at 309 N Mandan St Suite #1, Bismarck, ND 58501. The listed phone number is (701) 323-0924.

What is Shannon Weisz's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shannon Weisz enrolled in Medicare?

Yes. Shannon Weisz 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 organizations bill Medicare for Shannon Weisz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Weisz reassigns Medicare benefits to 2 organizations: Chambers & Blohm Psychological (Bismarck, ND) and Missouri River Health (Bismarck, ND). Each 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 Weisz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Weisz accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Shannon Weisz 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 Weisz was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.