BRENDETTE DENISE SHANNON COUNSELOR
NPI 1730436387
Counselor - Mental Health in Springfield, MA

Active since August 13, 2012PECOS Enrolled
1695 MAIN ST, SPRINGFIELD, MA 01103(413) 739-9972 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brendette Denise Shannon Counselor NPPES

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

BRENDETTE DENISE SHANNON COUNSELOR (NPI 1730436387) is an individual mental health provider in Springfield, Massachusetts, licensed in Connecticut (010662) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730436387
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRENDETTE DENISE SHANNONCredential: COUNSELOR
Location Address1695 MAIN STSpringfield, MA 01103-1348
Mailing Address4600 Powder Mill Rd Ste 450Beltsville, MD 20705-2686 · (959) 203-9900
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 13, 2012
Last NPPES UpdateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
✔ NPI 1730436387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 010662
1695 MAIN ST, Springfield, MA 01103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendette Denise Shannon Counselor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012424963
PECOS Enrollment IDI20251210002928
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 Brendette Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut and District of Columbia enrollments
  • 613 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 20

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

Counselor (Mental Health)
1695 MAIN ST
SPRINGFIELD, MA 01103
Counselor
1695 MAIN ST
SPRINGFIELD, MA 01103
Counselor (Mental Health)
1695 MAIN ST
SPRINGFIELD, MA 01103
Counselor (Mental Health)
1695 MAIN ST
SPRINGFIELD, MA 01103
Social Worker (Clinical)
1695 MAIN ST, STE.300
SPRINGFIELD, MA 01103
Social Worker
1695 MAIN ST
SPRINGFIELD, MA 01103
Student in an Organized Health Care Education/Training Program
1695 MAIN ST, SUITE 400
SPRINGFIELD, MA 01103
Counselor
1695 MAIN ST
SPRINGFIELD, MA 01103

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 Brendette Shannon's NPI number?

The NPI number for Brendette Shannon is 1730436387. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Brendette Shannon located?

Brendette Shannon practices at 1695 Main St, Springfield, MA 01103. The listed phone number is (413) 739-9972.

What is Brendette Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brendette Shannon enrolled in Medicare?

Yes. Brendette Shannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brendette Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendette Shannon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Brendette Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendette Shannon accept?

Health plans from Anthem Blue Cross and Blue Shield list Brendette Shannon 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 Brendette Shannon was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.