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SHANNON MARIE BURKE LPCC
NPI 1922319938
Counselor - Mental Health in Moriarty, NM

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment
1209 W US ROUTE 66 STE A, MORIARTY, NM 87035(505) 220-6971(505) 832-4441 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 19, 2017 (2 updates tracked since 2017).

About Shannon Marie Burke Lpcc NPPES

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

SHANNON MARIE BURKE LPCC (NPI 1922319938) is an individual mental health provider in Moriarty, New Mexico, licensed in New Mexico (0156191) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1922319938
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON MARIE BURKECredential: LPCC
Location Address1209 W US ROUTE 66 STE AMoriarty, NM 87035-1039
Mailing Address21 Dingo RdMoriarty, NM 87035-5498 · (505) 220-6971 · Fax (505) 832-4441
Phone(505) 220-6971
Fax(505) 832-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 24, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1922319938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NM · 0156191✔ Licensed in NM · T-0130231
1209 W US ROUTE 66 STE A, Moriarty, NM 87035
Open in Google Maps ↗

Other Identifiers 1

Other1841738820Billing Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Marie Burke Lpcc 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 ID6507394590
PECOS Enrollment IDI20250103000972
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 Burke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Positive Change Counseling, LLC
Same address
Community/Behavioral Health
1209 ROUTE 66
Moriarty, NM 87035
  • Reassigned Medicare billing, New Mexico enrollment
NPI 1841738820 (505) 220-6971

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

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

SARA LOMBARDI LPCC
Counselor (Professional)
1209 W US ROUTE 66 STE A
MORIARTY, NM 87035
Torrance County (505) 303-9597

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 Burke's NPI number?

The NPI number for Shannon Burke is 1922319938. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Shannon Burke located?

Shannon Burke practices at 1209 W Us Route 66 Ste A, Moriarty, NM 87035. The listed phone number is (505) 220-6971.

What is Shannon Burke's specialty?

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

Is Shannon Burke enrolled in Medicare?

Yes. Shannon Burke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Burke reassigns Medicare benefits to Positive Change Counseling, LLC (Moriarty, NM). 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 Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Burke was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.