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SANDRA SHANNON
NPI 1881332666
Counselor - Professional in Winchester, KY

Active since May 23, 2022PECOS Enrolled
7 WAVELAND AVE, WINCHESTER, KY 40391(859) 385-4669 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, May 24, 2022 (2 updates tracked since 2022).

About Sandra Shannon NPPES

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

SANDRA SHANNON (NPI 1881332666) is an individual professional provider in Winchester, Kentucky, licensed in Kentucky (307154) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881332666
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSANDRA SHANNON
Location Address7 WAVELAND AVEWinchester, KY 40391-1231
Mailing Address1801 Watermark DrColumbus, OH 43215-7088 · (614) 438-3400
Phone(859) 385-4669
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2022
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1881332666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 307154
7 WAVELAND AVE, Winchester, KY 40391
Open in Google Maps ↗

Other Names 1

Other Name (5)Sandi Shannon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9931676467
PECOS Enrollment IDI20260422000956
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 Sandra Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

National Youth Advocate Program, Inc
Same address
Community/Behavioral Health
7 WAVELAND AVE
Winchester, KY 40391
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1508397340 (859) 385-4669

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 12

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

NIKI L LEDFORD
Case Manager/Care Coordinator
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (859) 385-4669
CYNTHIA LOUISE WHITESIDE LPCA
Counselor (Mental Health)
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (859) 385-4669
JACOB HURD
Counselor (Mental Health)
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (859) 385-4669
CYNTHIA K REED LCSW
Social Worker (Clinical)
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (859) 771-5057
WILLIAM DERENGE
Counselor
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (859) 385-4669
CHRISTA MARIE KIRILENKO MSW, CSW
Social Worker (Clinical)
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (859) 385-4669
MARQUETTA LOUISE BROWN
Community/Behavioral Health
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (609) 759-0652
AUSTINA BRUTON
Counselor (Professional)
7 WAVELAND AVE
WINCHESTER, KY 40391
Clark County (859) 514-6028

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 Sandra Shannon's NPI number?

The NPI number for Sandra Shannon is 1881332666. It was assigned to this individual provider in the NPPES registry on May 23, 2022. The provider is also known as Sandi Shannon.

Where is Sandra Shannon located?

Sandra Shannon practices at 7 Waveland Ave, Winchester, KY 40391. The listed phone number is (859) 385-4669.

What is Sandra Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sandra Shannon enrolled in Medicare?

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

Which organization bills Medicare for Sandra Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Shannon reassigns Medicare benefits to National Youth Advocate Program, Inc (Winchester, KY). 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 Sandra Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Shannon accept?

Health plans from Anthem Blue Cross and Blue Shield list Sandra 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 Sandra Shannon was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.