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SHANTAYE POWELL
NPI 1831725050
Social Worker - Clinical in Metropolis, IL

Active since March 19, 2020PECOS Enrolled
206 W 5TH ST, METROPOLIS, IL 62960(618) 524-9368 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shantaye Powell NPPES

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

SHANTAYE POWELL (NPI 1831725050) is an individual clinical provider in Metropolis, Illinois and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831725050
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANTAYE POWELL
Location Address206 W 5TH STMetropolis, IL 62960-1810
Mailing Address206 W 5th StMetropolis, IL 62960
Phone(618) 524-9368
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1831725050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
206 W 5TH ST, Metropolis, IL 62960
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Other Identifiers 1

Medicaid371011136IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shantaye Powell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012441454
PECOS Enrollment IDI20260421000576
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 Shantaye Powell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
931 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois and Kentucky enrollments
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. TONI L MILLER MS LCPC
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
DYLAN WADE STREET
Student in an Organized Health Care Education/Training Program
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
JENNEA HARRIS
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
OAKLEY AUTUMN WARREN
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
ASHLEY POWERS MS
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (800) 851-1251
MARYBETH CLARK BS
Counselor (Addiction (Substance Use Disorder))
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368
MICHAEL PROYR
Counselor (Mental Health)
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (270) 556-3966
AMY KRUEGER BS
Counselor
206 W 5TH ST
METROPOLIS, IL 62960
Massac County (618) 524-9368

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 Shantaye Powell's NPI number?

The NPI number for Shantaye Powell is 1831725050. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Shantaye Powell located?

Shantaye Powell practices at 206 W 5th St, Metropolis, IL 62960. The listed phone number is (618) 524-9368.

What is Shantaye Powell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shantaye Powell enrolled in Medicare?

Yes. Shantaye Powell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shantaye Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shantaye Powell 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 Shantaye Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shantaye Powell was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.