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SHANNON N SMITH
NPI 1972186674
Counselor - Mental Health in Haverhill, MA

Active since April 30, 2021PECOS Enrolled
62 BROWN ST STE 305, HAVERHILL, MA 01830(978) 521-7777 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Apr 30, 2021 (2 updates tracked since 2021).

About Shannon N Smith NPPES

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

SHANNON N SMITH (NPI 1972186674) is an individual mental health provider in Haverhill, Massachusetts, licensed in Massachusetts (LMHC10004345) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972186674
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON N SMITH
Location Address62 BROWN ST STE 305Haverhill, MA 01830-6790
Mailing Address280 Merrimack St Ste 141Lawrence, MA 01843-1780
Phone(978) 521-7777
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 30, 2021
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1972186674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · LMHC10004345
62 BROWN ST STE 305, Haverhill, MA 01830
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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 N Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183137243
PECOS Enrollment IDI20250701003581
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 8

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

ALYSSA ISABEL DITOMASO
Counselor (Mental Health)
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 373-3086
NICOLE IVONE
Social Worker (Clinical)
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 521-7777
DOMINIQUE GRASSO BSW
Social Worker (Clinical)
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 521-7777
MARGARET DOWNEY
Counselor
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 744-1585
MS. PATRICIA ANN ANDREWS
Counselor (Mental Health)
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 771-5181
SHANNON MARIE MAIN PMHNP, CNP
Nurse Practitioner (Psychiatric/Mental Health)
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 369-1113
MS. ADRIANA LIARA CANO BA
Counselor (Mental Health)
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 521-7777
LAURA ANN CHIODO
Counselor (Mental Health)
62 BROWN ST STE 305
HAVERHILL, MA 01830
Essex County (978) 373-3086

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 Smith's NPI number?

The NPI number for Shannon Smith is 1972186674. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Shannon Smith located?

Shannon Smith practices at 62 Brown St Ste 305, Haverhill, MA 01830. The listed phone number is (978) 521-7777.

What is Shannon Smith's specialty?

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

Is Shannon Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.