Individual provider Active NPI

Shannon Nicole Lenze, MA, NCC, LPC

  • Professional Counselor
  • Saint Marys, PA
National Provider Identifier
1922518315
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005581 Issued in PA
Practice address
427 N Saint Marys St
Saint Marys, PA 15857-3657
Phone
(814) 834-9283
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC005581 PA
Mental Health Counselor 101YM0800X PC0005581 PA
Professional Counselor 101YP2500X PC005581 PA Primary

Addresses

Primary practice location

427 N Saint Marys St
Saint Marys, PA 15857-3657

Mailing address

PO Box 319
Bigler, PA 16825-0319
Phone (814) 342-5678

Other practice location 1

2910 Oklahoma Salem Rd
Du Bois, PA 15801-5832
Phone (814) 371-1023

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240610000040 PA Practitioner - Mental Health Counselor 5092257824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

427 N Saint Marys St
Saint Marys, PA 15857-3657
Phone (814) 342-5678

50 Bigler Rd
Woodland, PA 16881-0204

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 342-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC0005581PAMDMental Health Counselor
PC005581PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. Mental Health CurrentSince Apr 28, 2024 Accepting new patients

Locations

2910 Oklahoma Salem Rd
Du Bois, PA 15801
Phone (814) 371-1023

427 N Saint Marys St
Saint Marys, PA 15857
Phone (814) 577-0323

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922518315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "BIGLER",
            "state": "PA",
            "postal_code": "168250319",
            "telephone_number": "814-342-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N SAINT MARYS ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573657",
            "telephone_number": "814-834-9283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Oklahoma Salem Rd",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158015832",
            "country_code": "US",
            "telephone_number": "814-371-1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENZE",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC005581",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC0005581",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.