Shanna Learn, LPC
Individual provider Active NPI Professional Counselor · Wildwood, NJ
NPI 1083971634 · NPPES record last updated Apr 20, 2012
Key facts
- NPI
- 1083971634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00448800 (NJ)
- Practice address
- 2409 Central Ave
Apt. 208
Wildwood, NJ 08260-5232 - Phone
- (814) 504-3514
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cooperative Care Partnership Inc
Practice addresses (Care Compare)
1076 Route 47 S
Rio Grande, NJ 08242-1608
Phone (609) 741-6363
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240904003874 | NJ | Practitioner - Mental Health Counselor | 2365765542 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00448800 | NJ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Care Partnership, Inc | Current |
Accepting new patients | |
| Cooperative Care Partnership, Inc. | Past |
Accepting new patients |
Locations
1076 Route 47 S
Rio Grande, NJ 08242
Phone (609) 741-6363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00448800 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00448800 | NJ | Yes |
| Marriage & Family Therapist | 106H00000X | 37PC00448800 | NJ |
Addresses
Primary practice location
2409 Central Ave
Apt. 208
Wildwood, NJ 08260-5232
Mailing address
PO Box 2646
Wildwood, NJ 08260-8646
Phone (814) 504-3514
Other providers in Wildwood, NJ
- Veronica Gonzalez-Rivera
- Holly Beach Dental Associates
- Lanza Family Chiropractic, LLC
- Paula A Lanza
- Debbie Lee Lawlor
- Julia Grace Macneill
- William Mahoney
- Julia Ann Miller
- New Jersey CVS Pharmacy LLC
- Andrew Nye
All providers in Wildwood, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.