SHAWNA TULLY LMFT
NPI 1861504995
Marriage & Family Therapist in Lebanon, IN

Q: What is Shawna Tully's NPI number?

The NPI number for Shawna Tully is 1861504995. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Shawna Tully's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawna Tully was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1600 W MAIN ST, LEBANON, IN 46052(317) 574-1254(317) 674-0060 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2018, Dec 29, 2017 (2 updates tracked since 2017).

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About Shawna Tully Lmft NPPES

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

SHAWNA TULLY LMFT (NPI 1861504995) is an individual marriage & family therapist in Lebanon, Indiana, licensed in Indiana (35001421A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861504995

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHAWNA TULLYCredential: LMFT

Location Address1600 W MAIN STLebanon, IN 46052-2388

Mailing Address5101 E Us Highway 36 Ste 100Avon, IN 46123-6646 · (888) 714-1927 · Fax (317) 745-9565

Phone(317) 574-1254

Fax(317) 674-0060

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 31, 2006

Last NPPES UpdateFebruary 20, 20182 updates tracked since enumeration

✔ NPI 1861504995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IN · 35001421A

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1600 W MAIN ST, Lebanon, IN 46052

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawna Tully Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567808918

PECOS Enrollment IDI20240308000160

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.

Other Providers at the Same Location NPPES 16

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

SEAN OATIS

Counselor (Professional)