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SHAUNA M CLARK
NPI 1780139097
Counselor - Mental Health in Keene, NH

Active since August 17, 2016PECOS Enrolled
40 AVON ST, KEENE, NH 03431(603) 357-4400(603) 357-9648 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2025, Feb 7, 2024, Aug 17, 2016 (3 updates tracked since 2016).

About Shauna M Clark NPPES

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

SHAUNA M CLARK (NPI 1780139097) is an individual mental health provider in Keene, New Hampshire, licensed in New Hampshire (1138) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780139097
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAUNA M CLARK
Location Address40 AVON STKeene, NH 03431-3516
Mailing Address64 Main StKeene, NH 03431-3701 · (603) 283-1570 · Fax (603) 357-9648
Phone(603) 357-4400
Fax(603) 357-9648
Sole ProprietorNo
Enumeration DateAugust 17, 2016
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1780139097 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 NH · 1138
40 AVON ST, Keene, NH 03431
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1580 Court StKeene, NH 03431-1718 · Phone (603) 354-5400
Location 2590 Court StKeene, NH 03431-1719 · Phone (603) 354-5400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shauna M Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Shauna Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monadnock Family Services
Same address
Community/Behavioral Health
40 AVON ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 23 clinicians in this Medicare group
NPI 1649331224 (603) 357-4400
Dartmouth-Hitchcock Clinic
0.9 mi
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1174176861 (603) 354-5400
Cheshire Medical Center
1.1 mi
Emergency Medicine
580 COURT STREET, EMERGENCY MEDICINE
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 450 clinicians in this Medicare group
NPI 1093803397 (603) 354-5454
Mary Hitchcock Memorial Hospital
52 mi
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1023092053 (603) 650-5000

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.

LORI LOHRMANN MA
Counselor (Mental Health)
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
NICOLE BELONGA
Case Management
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
KAITLYN DUFFELMEYER
Specialist
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
EDGARDO A LAGARES
Case Manager/Care Coordinator
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
JULIANA GABRIEL
Specialist
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
SOPHIA R WIGGIN
Specialist
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
JEREMY TODD MITCHELL
Case Manager/Care Coordinator
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
MRS. MELANIE DORLEEN DIEHL
Counselor (Mental Health)
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400

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 Shauna Clark's NPI number?

The NPI number for Shauna Clark is 1780139097. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Where is Shauna Clark located?

Shauna Clark practices at 40 Avon St, Keene, NH 03431. The listed phone number is (603) 357-4400.

What is Shauna Clark's specialty?

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

Is Shauna Clark enrolled in Medicare?

Yes. Shauna Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shauna Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shauna Clark reassigns Medicare benefits to 4 organizations: Monadnock Family Services (Keene, NH), Dartmouth-Hitchcock Clinic (Keene, NH), Cheshire Medical Center (Keene, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). 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 Shauna Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shauna Clark accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Shauna Clark 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 Shauna Clark was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.