Shannon Len Deets, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018703 Issued in PA

Practice address

18278 Technology Dr
Meadville, PA 16335-8380

Phone

(814) 807-0487

Fax

(888) 538-2885

NPI assigned

Aug 18, 2008

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shannon Len Rhodes Other name

Medicare fee-for-service enrollment

Enrolled in PA

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

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Shannon Deets Counseling LLC

  • Professional Counselor
  • Meadville, PA
  • NPI 1275950693
  Authorized official Same address or phone

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1912153289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18278 TECHNOLOGY DR",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358380",
            "telephone_number": "814-807-0487",
            "fax_number": "888-538-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18278 TECHNOLOGY DR",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358380",
            "telephone_number": "814-807-0487",
            "fax_number": "888-538-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETS",
        "first_name": "SHANNON",
        "middle_name": "LEN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004908",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024531890002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "RHODES",
            "middle_name": "LEN",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Debi Ann Davis, LPC
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• Martin Joseph Decker, D.O.
• Dedham Dialysis LLC (French Creek Dialysis)
• Melissa Lynn Dengler, N.D., LMT
• Dennis M. Finton, DMD, PC
• Damian J Derlink, DMD
• Thomas Joseph Detelich Jr., RPH
• Larry Scott Dickson, MA

• Psychologist in Meadville, PA
• Providers in Meadville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.