Shannon Shadman, MSMHC, M.ED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00591200

Practice address

6102 Hamilton Way
Eastampton Township, NJ 08060-1673

Phone

(484) 515-6125

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sesolutions, IncGroup PAC ID 9931623410, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Sesolutions, Inc.

  dba The Mental Mediator

  • Professional Counselor
  • Eastampton Township, NJ
  • NPI 1386100808
  Medicare reassignment Care Compare group NPD Authorized official
• Sesolutions, Inc.

  dba The Mental Mediator

  • Multi-Specialty Clinic/Center
  • Eastampton Township, NJ
  • NPI 1487447884
  NPD Authorized official
• TMM Medical Corporation

  • Addiction Medicine (Internal Medicine) Physician
  • Eastampton Township, NJ
  • NPI 1992645741
  NPD Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1518326594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CORNELL AVE",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681712",
            "telephone_number": "484-515-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 HAMILTON WAY",
            "city": "EASTAMPTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "080601673",
            "telephone_number": "484-515-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADMAN",
        "first_name": "SHANNON",
        "credential": "MSMHC, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00286600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "37PC00591200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Elizabeth Merckx, RBT
• Siobain O'Donnell
• Jesse Rosen
• Sesolutions, Inc. (The Mental Mediator)
• Sesolutions, Inc. (The Mental Mediator)
• Jennifer Sue Soto
• Timothy Allen Steinmetz, LCSW
• Cinthya Swen, LPC, NCC
• Madison Taylor
• TMM Medical Corporation

• Professional Counselor in Eastampton Township, NJ
• Providers in Eastampton Township, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.