SHANNON MCCREARY LPCCS CDCA
NPI 1902356348
Counselor in Ravenna, OH

Q: What is Shannon Mccreary's NPI number?

The NPI number for Shannon Mccreary is 1902356348. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Q: What is Shannon Mccreary's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Mccreary was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 10, 2016PECOS Enrolled

771 N FREEDOM ST, RAVENNA, OH 44266(330) 296-5552 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2025, Oct 10, 2016 (2 updates tracked since 2016).

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About Shannon Mccreary Lpccs Cdca NPPES

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

SHANNON MCCREARY LPCCS CDCA (NPI 1902356348) is an individual counselor in Ravenna, Ohio and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902356348

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHANNON MCCREARYCredential: LPCCS CDCA

Location Address771 N FREEDOM STRavenna, OH 44266-2470

Mailing Address771 N Freedom StRavenna, OH 44266-2470

Phone(330) 296-5552

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 10, 2016

Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1902356348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.1901218-SUPV (OH)

771 N FREEDOM ST, Ravenna, OH 44266

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7618469321

PECOS Enrollment IDI20251120002394

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 20

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

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