DARLENE SHEA LPC
NPI 1972010239
Counselor - Professional in Milwaukee, WI

Active since January 08, 2018PECOS Enrolled
8901 W CAPITOL DR, MILWAUKEE, WI 53222(414) 465-5770(414) 260-8980 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Darlene Shea Lpc NPPES

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

DARLENE SHEA LPC (NPI 1972010239) is an individual professional provider in Milwaukee, Wisconsin and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972010239
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDARLENE SHEACredential: LPC
Location Address8901 W CAPITOL DRMilwaukee, WI 53222-1706
Mailing Address8901 W Capitol DrMilwaukee, WI 53222-1706 · (414) 465-5770 · Fax (414) 260-8980
Fax(414) 260-8980
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 8, 2018
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1972010239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
8901 W CAPITOL DR, Milwaukee, WI 53222

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)

Darlene Shea Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012483431
PECOS Enrollment IDI20260414001824
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 Darlene Shea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
8901 W CAPITOL DR
Milwaukee, WI 53222
  • Reassigned Medicare billing, Wisconsin enrollment
  • 88 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.

Counselor (Professional)
8901 W CAPITOL DR
MILWAUKEE, WI 53222
Counselor (Professional)
8901 W CAPITOL DR
MILWAUKEE, WI 53222
Counselor (Professional)
8901 W CAPITOL DR
MILWAUKEE, WI 53222
Counselor
8901 W CAPITOL DR
MILWAUKEE, WI 53222
Residential Treatment Facility, Emotionally Disturbed Children
8901 W CAPITOL DR
MILWAUKEE, WI 53222
Counselor (Professional)
8901 W CAPITOL DR
MILWAUKEE, WI 53222
Counselor (Professional)
8901 W CAPITOL DR
MILWAUKEE, WI 53222
Counselor (Professional)
8901 W CAPITOL DR
MILWAUKEE, WI 53222

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 Darlene Shea's NPI number?

The NPI number for Darlene Shea is 1972010239. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Darlene Shea located?

Darlene Shea practices at 8901 W Capitol Dr, Milwaukee, WI 53222. The listed phone number is (414) 465-5770.

What is Darlene Shea's specialty?

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

Is Darlene Shea enrolled in Medicare?

Yes. Darlene Shea is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Darlene Shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Shea reassigns Medicare benefits to Outreach Community Health Centers, Inc. (Milwaukee, WI). 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 Darlene Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darlene Shea accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Darlene Shea 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 Darlene Shea was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.