SHANNON LEE DERBY LMHC, CAC
NPI 1962365940
Counselor - Mental Health in Marlborough, MA
About Shannon Lee Derby Lmhc, Cac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON LEE DERBY LMHC, CAC (NPI 1962365940) is an individual mental health provider in Marlborough, Massachusetts, licensed in Florida (MH17175) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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 Lee Derby Lmhc, Cac 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Derby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Smithfield, RI 02896
- Reassigned Medicare billing, Massachusetts enrollment
- 54 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARLBOROUGH, MA 01752
MARLBOROUGH, MA 01752
MARLBOROUGH, MA 01752
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 Derby's NPI number?
The NPI number for Shannon Derby is 1962365940. It was assigned to this individual provider in the NPPES registry on December 5, 2025.
Where is Shannon Derby located?
Shannon Derby practices at 28 Lord Rd Ste 215, Marlborough, MA 01752. The listed phone number is (781) 666-2711.
What is Shannon Derby's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shannon Derby enrolled in Medicare?
Yes. Shannon Derby 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 Derby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Derby reassigns Medicare benefits to Spectrum Neuro Behavioral Care LLC (North Smithfield, RI). 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 Derby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Derby accept?
Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Shannon Derby 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 Derby was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shannon Lee Derby, LMHC, CAC · NPI 1962365940
Mental Health provider in Marlborough, Massachusetts. Individual provider, active in the CMS NPPES registry since December 5, 2025.
## Identity
- **NPI:** 1962365940 (Entity type: Individual)
- **Enumerated:** December 5, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH17175 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 28 LORD RD STE 215, Marlborough, MA 01752-4549
- **Phone:** (781) 666-2711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Spectrum Neuro Behavioral Care LLC (NPI 1356906572, North Smithfield, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962365940) · Data from the CMS NPPES public registry.