SHANNON MCCREARY LPCCS CDCA
NPI 1902356348
Counselor in Ravenna, OH

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: October 18, 2026.

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

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
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

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)

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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
5968 NEW MILFORD RD
Ravenna, OH 44266
  • Reassigned Medicare billing, Ohio enrollment
  • 78 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 20

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

Social Worker
771 N FREEDOM ST
RAVENNA, OH 44266
Counselor (Professional)
771 N FREEDOM ST
RAVENNA, OH 44266
Counselor (Mental Health)
771 N FREEDOM ST
RAVENNA, OH 44266
Social Worker
771 N FREEDOM ST
RAVENNA, OH 44266
Counselor
771 N FREEDOM ST
RAVENNA, OH 44266
Case Manager/Care Coordinator
771 N FREEDOM ST
RAVENNA, OH 44266
Clinic/Center (Rehabilitation, Substance Use Disorder)
771 N FREEDOM ST
RAVENNA, OH 44266
Specialist/Technologist (Athletic Trainer)
771 N FREEDOM ST
RAVENNA, OH 44266

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 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.

Where is Shannon Mccreary located?

Shannon Mccreary practices at 771 N Freedom St, Ravenna, OH 44266. The listed phone number is (330) 296-5552.

What is Shannon Mccreary's specialty?

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

Is Shannon Mccreary enrolled in Medicare?

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

Which organization bills Medicare for Shannon Mccreary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Mccreary reassigns Medicare benefits to Axess Family Services Inc (Ravenna, OH). 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 Shannon Mccreary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Mccreary accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Shannon Mccreary 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 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 19 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.