ELLEN DOLORES SHANNON MSED, LMHC
NPI 1841940145
Counselor - Mental Health in Fort Wayne, IN

Active since March 28, 2022PECOS Enrolled
127 W BERRY ST STE 311, FORT WAYNE, IN 46802(260) 376-2242 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellen Dolores Shannon Msed, Lmhc NPPES

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

ELLEN DOLORES SHANNON MSED, LMHC (NPI 1841940145) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (88000982A) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1841940145
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLEN DOLORES SHANNONCredential: MSED, LMHC
Location Address127 W BERRY ST STE 311Fort Wayne, IN 46802-2310
Mailing Address127 W Berry St Ste 311Fort Wayne, IN 46802-2310 · (260) 376-2242
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
✔ NPI 1841940145 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 IN · 88000982A
127 W BERRY ST STE 311, Fort Wayne, IN 46802

Secondary Practice Location 1

Location 12250 Lake Ave Ste 100Fort Wayne, IN 46805-5352 · Phone (260) 225-8077

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)

Ellen Dolores Shannon Msed, Lmhc 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 Reassignment

Medicare enrollment records show Ellen Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 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 2

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
127 W BERRY ST STE 311
FORT WAYNE, IN 46802
Counselor (Mental Health)
127 W BERRY ST STE 311
FORT WAYNE, IN 46802

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 Ellen Shannon's NPI number?

The NPI number for Ellen Shannon is 1841940145. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Ellen Shannon located?

Ellen Shannon practices at 127 W Berry St Ste 311, Fort Wayne, IN 46802. The listed phone number is (260) 376-2242.

What is Ellen Shannon's specialty?

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

Is Ellen Shannon enrolled in Medicare?

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

Which organization bills Medicare for Ellen Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Shannon reassigns Medicare benefits to Bowen Health Inc (Fort Wayne, IN). 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 Ellen Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Shannon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Ellen 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 Ellen Shannon was last updated on February 28, 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.