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SHANNON NICOLE BOE
NPI 1780302299
Counselor in San Jose, CA

Active since August 19, 2022Opted out of Medicare · through Nov 20, 2027
1990 THE ALAMEDA, SAN JOSE, CA 95126(408) 495-5499 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Nicole Boe NPPES

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

SHANNON NICOLE BOE (NPI 1780302299) is an individual counselor in San Jose, California and active in the NPI registry since August 2022. She has opted out of Medicare through November 20, 2027.

NPPES Registry Identity

NPI1780302299
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON NICOLE BOE
Location Address1990 THE ALAMEDASan Jose, CA 95126-1432
Mailing Address28630 Lupine StCastaic, CA 91384-4710 · (661) 860-2156
Phone(408) 495-5499
Sole ProprietorNo
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1780302299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1990 THE ALAMEDA, San Jose, CA 95126
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannon Nicole Boe has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2025 through November 20, 2027.

Opt-Out Effective DateNovember 20, 2025
Opt-Out In Effect ThroughNovember 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

ADRIANA MERCEDES JOHNSTON MA, APCC
Counselor (Mental Health)
1990 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 495-5499
ABIGAIL JONES APCC
Counselor (Mental Health)
1990 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 495-5499

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 Boe's NPI number?

The NPI number for Shannon Boe is 1780302299. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Shannon Boe located?

Shannon Boe practices at 1990 The Alameda, San Jose, CA 95126. The listed phone number is (408) 495-5499.

What is Shannon Boe's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shannon Boe enrolled in Medicare?

No. Shannon Boe has opted out of Medicare through November 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannon Boe was last updated on August 19, 2022. 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.