Shannon Elizabeth Kelly, LPC in Colorado Springs, CO

Shannon Elizabeth Kelly, LPC is a medicare enrolled "Counselor - Professional" provider in Colorado Springs, Colorado. Her current practice location is 115 E Costilla St, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 447-0370.

Shannon Elizabeth Kelly is licensed to practice in Colorado (license number 4981) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144483421.

Contact Information

	Shannon Elizabeth Kelly, LPC
	115 E Costilla St, Colorado Springs, CO 80903-2101
	(719) 447-0370
	(719) 447-0371

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Elizabeth Kelly
Gender	Female
Speciality	Counselor - Professional
Location	115 E Costilla St, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144483421
Provider Enumeration Date: 07/07/2008
Last Update Date: 01/03/2011

Medicare PECOS Information:

PECOS PAC ID: 1850690751
Enrollment ID: I20240127000519

Medical Identifiers

Medical identifiers for Shannon Elizabeth Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144483421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4981 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Elizabeth Kelly allows following entities to bill medicare on her behalf.

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Elizabeth Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon Elizabeth Kelly, LPC 115 E Costilla St, Colorado Springs, CO 80903-2101 Ph: (719) 447-0370	Shannon Elizabeth Kelly, LPC 115 E Costilla St, Colorado Springs, CO 80903-2101 Ph: (719) 447-0370

Reviews and Comments

Counselor in Colorado Springs, CO

Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130
Andrea Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Gold Pass Hts, Colorado Springs, CO 80906 Phone: 719-205-2671 Fax: 719-632-2342
Norma Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6300
Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488
Melissa Beth Smart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Inverness Dr Ste 400, Colorado Springs, CO 80910 Phone: 970-310-3406

Shannon Elizabeth Kelly, LPC - Medicare Counselor in Colorado Springs, CO