DR. THEODORE PAUL SHANNON PHD, MS - NPI 1992085831

Q: What is Theodore Shannon's NPI number?

The NPI number for Theodore Shannon is 1992085831. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Q: What is Theodore Shannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Shannon was last updated on August 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Theodore Paul Shannon Phd, Ms NPPES

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

DR. THEODORE PAUL SHANNON PHD, MS (NPI 1992085831) is an individual counselor in Worthington, Ohio, licensed in Ohio (C 0700153) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1992085831

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameDR. THEODORE PAUL SHANNONCredential: PHD, MS

Location Address1035 PROPRIETORS RDWorthington, OH 43085-3230

Mailing Address1035 Proprietors RdWorthington, OH 43085-3230 · (614) 785-1115 · Fax (614) 785-0095

Phone(614) 785-1115

Fax(614) 785-0095

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 23, 2011

✔ NPI 1992085831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · C 0700153

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.

1035 PROPRIETORS RD, Worthington, OH 43085

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Paul Shannon Phd, Ms 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 ID1951752229

PECOS Enrollment IDI20240111000569

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

71 services13 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

14 services14 patients

Other Providers at the Same Location NPPES 11

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

EMMA LUCILLE WILSON APRN-CNP

Nurse Practitioner (Psychiatric/Mental Health)