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DR. THEODORE PAUL SHANNON PHD, MS
NPI 1992085831
Counselor in Worthington, OH

Active since August 23, 2011PECOS EnrolledAccepts Medicare Assignment
1035 PROPRIETORS RD, WORTHINGTON, OH 43085(614) 785-1115(614) 785-0095 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and more.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Ohio Counseling Inc.
Same address
Clinical
1035 PROPRIETORS RD
Worthington, OH 43085
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1922031988 (614) 785-1115

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 785-1115
REKIA ANTOINETTE HILL APRN
Nurse Practitioner (Psychiatric/Mental Health)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 670-9544
ELAINE RENTEL MSW, LISW
Social Worker (Clinical)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 785-1115
KIMBERLY WATTS APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 296-8193
DR. ANTHONY D MARTIN MD
Psychiatry & Neurology (Psychiatry)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 785-1115
DR. JOSEPH GERARD LALONDE M.D.
Psychiatry & Neurology (Psychiatry)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 785-1115
DEBORAH FLATH ANDERSON
Psychologist (School)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 785-1115
MS. LINDA S SIX LPCC, LICDC
Counselor (Mental Health)
1035 PROPRIETORS RD
WORTHINGTON, OH 43085
Franklin County (614) 785-1115

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 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.

Where is Theodore Shannon located?

Theodore Shannon practices at 1035 Proprietors Rd, Worthington, OH 43085. The listed phone number is (614) 785-1115.

What is Theodore Shannon's specialty?

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

Is Theodore Shannon enrolled in Medicare?

Yes. Theodore Shannon 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 Theodore Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Shannon reassigns Medicare benefits to Central Ohio Counseling Inc. (Worthington, OH). 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 Theodore Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Shannon accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Theodore Shannon 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 Theodore Shannon was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.