Individual provider Active NPI

Shannon Anne McElhone, LMHC

  • Mental Health Counselor
  • Flushing, NY
National Provider Identifier
1205388261
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
14202 20TH Ave
Flushing, NY 11351-3000
Phone
(917) 563-3350
Fax
(646) 829-1363
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 NY Primary

Addresses

Primary practice location

14202 20TH Ave
Flushing, NY 11351-3000

Mailing address

14202 20TH Ave
Flushing, NY 11351-3000
Phone (917) 563-3350

Other names 1

  • Mrs. Shannon Anne McElhone-Bobo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240119000228 MA Practitioner - Mental Health Counselor 5395197990 Reassigns benefits to 1 organization
I20240119002118 NY Practitioner - Mental Health Counselor 5395197990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA CurrentSince Jan 1, 2024 Accepting new patients
MCCD Psychiatry Services PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

265 Franklin St
Ste 1702
Boston, MA 02110
Phone (203) 721-6500

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1205388261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 20TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113513000",
            "telephone_number": "917-563-3350",
            "fax_number": "646-829-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14202 20TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113513000",
            "telephone_number": "917-563-3350",
            "fax_number": "646-829-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELHONE",
        "first_name": "SHANNON",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MCELHONE-BOBO",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.