Ellen Dolores Shannon, MSED, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88000982A Issued in IN

Practice address

127 W Berry St Ste 311
Fort Wayne, IN 46802-2310

Phone

(260) 376-2242

NPI assigned

Mar 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

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 and National Provider Directory roles.

• Bowen Health Inc

  • Adult Mental Health Clinic/Center
  • Warsaw, IN
  • NPI 1639172810
  Medicare reassignment NPD
• Riverside Trauma Services

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1376421453
  NPD Authorized official
• Verity Trauma Counseling

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1174333173
  NPD Authorized official
• Bowen Health Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Wayne, IN
  • NPI 1023668183
  NPD
• Phoenix Associates Inc.

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1407917966
  NPD (past)
• Unboxed Grace Counseling Company LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1386424729
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1841940145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W BERRY ST STE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022310",
            "telephone_number": "260-376-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W BERRY ST STE 311",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022310",
            "telephone_number": "260-376-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Lake Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468055352",
            "country_code": "US",
            "telephone_number": "260-225-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ELLEN",
        "middle_name": "DOLORES",
        "credential": "MSED, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000982A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Jacob Shank, DDS
• Margaret Kathryn Shank, LPN
• Rebecca Shank, RN
• Melanie Jane Shanks, COTA
• Craig D Shannon, MPT
• Micah Shannon
• Patrick Dewayne Shannon
• Frank Shao, M.D.
• Michael Yuzhou Shao, MD
• Shape Behavior Solutions, LLC

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.