Individual provider Active NPI

Shana Or Shana Adams

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1083396063
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
292420 Issued in KY
Practice address
700 Chestnut St
Bowling Green, KY 42101-2218
Phone
(270) 904-0055
NPI assigned
Aug 1, 2023
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 292420 KY Primary

Addresses

Primary practice location

700 Chestnut St
Bowling Green, KY 42101-2218

Mailing address

8670 New Bowling Green Rd
Smiths Grove, KY 42171-8917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304003334 KY Practitioner - Mental Health Counselor 0941721153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Counseling LLCGroup PAC ID 7810227345, 6 clinicians

Practice addresses (Care Compare)

700 Chestnut St
Bowling Green, KY 42101-2218
Phone (270) 904-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292420KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LHC, LLC Mental Health CurrentSince Feb 2, 2025 Accepting new patients
Lighthouse Counseling LLC CurrentSince Feb 14, 2025 Accepting new patients

Locations

700 Chestnut St
Bowling Green, KY 42101
Phone (270) 847-0529

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1083396063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 NEW BOWLING GREEN RD",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "421718917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHESTNUT ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012218",
            "telephone_number": "270-904-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHANA",
        "middle_name": "OR SHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "292420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.