Mo Anne Shyne, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

418 Issued in NH

Practice address

130 Main St Ste 203C
Salem, NH 03079-3173

Phone

(603) 216-9244

Fax

(603) 681-0567

NPI assigned

Sep 6, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in NH

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, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578666558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 203C",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793173",
            "telephone_number": "603-216-9244",
            "fax_number": "603-681-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST STE 203C",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793173",
            "telephone_number": "603-216-9244",
            "fax_number": "603-681-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYNE",
        "first_name": "MO",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30421665",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "343959",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Finnegan Shirley, ATC
• Mary E Short, LCMHC, MLADC
• Peter M Shoukimas, PA-C
• Shuja U Saleem, M.D.
• Amanda Shultz, PT
• Alicia Corinne Sienkiewicz, PT, DPT
• Joshua Sigsworth
• Elizabeth Marie Silvestri, PA-C
• Michael Steven Simone, M.S., L.N., C.N.S.,
• Paige E Simoneau, DPT

• Mental Health Counselor in Salem, NH
• Providers in Salem, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.