Shannon Leigh Rozycki, MSED, PCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E. 0003945 Issued in OH

Practice address

318 Mahoning Ave NW
Warren, OH 44483-4605

Phone

(330) 395-9563

NPI assigned

Feb 20, 2007

Last updated

Aug 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shelton Behavioral HealthGroup PAC ID 8123445277, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shelton Behavioral Health

  • Clinical Psychologist
  • Warren, OH
  • NPI 1487264289

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1578608683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834605",
            "telephone_number": "330-395-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834605",
            "telephone_number": "330-395-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZYCKI",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "credential": "MSED, PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E. 0003945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000217911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd G Rowan, PT
• James Royal, RPH
• Erica Royster
• Azyah Rozenblad
• Tina Rozic
• Alicia Ruberto
• Michael Scott Rudd, FNP-C
• Diane Ruffin
• Barbara A Ruiter, CRNP
• Jessica Rullo

• Mental Health Counselor in Warren, OH
• Providers in Warren, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.