SHANNON SIRACUSA LMHC
NPI 1730609959
Counselor - Mental Health in Port Charlotte, FL
About Shannon Siracusa Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON SIRACUSA LMHC (NPI 1730609959) is an individual mental health provider in Port Charlotte, Florida, licensed in Florida (MH22831) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Shannon Siracusa Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Siracusa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33916
- Reassigned Medicare billing, Florida enrollment
- 618 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.
PORT CHARLOTTE, FL 33948
PORT CHARLOTTE, FL 33948
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 Siracusa's NPI number?
The NPI number for Shannon Siracusa is 1730609959. It was assigned to this individual provider in the NPPES registry on June 20, 2017. The provider is also known as Shannon Siracusa Lmhc.
Where is Shannon Siracusa located?
Shannon Siracusa practices at 1777 Tamiami Trl Ste 201, Port Charlotte, FL 33948. The listed phone number is (841) 249-4354.
What is Shannon Siracusa's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shannon Siracusa enrolled in Medicare?
Yes. Shannon Siracusa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Siracusa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Siracusa reassigns Medicare benefits to Dna Comprehensive Therapy Services, LLC (Fort Myers, 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 Shannon Siracusa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Siracusa accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Cigna HealthCare of Florida, Inc. and 5 other insurers list Shannon Siracusa 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 Siracusa was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shannon Siracusa, LMHC · NPI 1730609959
Mental Health provider in Port Charlotte, Florida. Individual provider, active in the CMS NPPES registry since June 20, 2017.
## Identity
- **NPI:** 1730609959 (Entity type: Individual)
- **Enumerated:** June 20, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH22831 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1777 TAMIAMI TRL STE 201, Port Charlotte, FL 33948-1064
- **Phone:** (841) 249-4354
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dna Comprehensive Therapy Services, LLC (NPI 1316363757, Fort Myers, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730609959) · Data from the CMS NPPES public registry.