SHANNON TENNILLE SMITH MED.
NPI 1396156915
Counselor - Professional in Somerset, KY

NPI Status: Active since May 16, 2014

Contact Information

3540 S HIGHWAY 27 STE 4
SOMERSET, KY
ZIP 42501
Phone: (606) 679-1815
Fax: (606) 451-1631

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  • Individual
  • Female
  • Counselor
  • Professional
  • PECOS Enrolled

About SHANNON SMITH

This page provides the complete NPI Profile along with additional information for Shannon Smith, a provider established in Somerset, Kentucky with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1396156915 assigned on May 2014. The practitioner's primary taxonomy code is 101YP2500X with license number KY-0561 (KY). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1396156915
Provider Name
SHANNON TENNILLE SMITH MED.
Gender
Female
Entity Type
Individual
Location Address
3540 S HIGHWAY 27 STE 4 SOMERSET, KY 42501
Location Phone
(606) 679-1815
Location Fax
(606) 451-1631
Mailing Address
3540 S HIGHWAY 27 STE 4 SOMERSET, KY 42501
Mailing Phone
(606) 679-1815
Mailing Fax
(606) 451-1631
Is Sole Proprietor?
No
Enumeration Date
05-16-2014
Last Update Date
06-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
KY-0561
License State
KY

Medicare Participation & PECOS Enrollment Status

Shannon Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for SHANNON TENNILLE SMITH MED.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396156915
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186251292
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 5 + 1 + 2 + 9 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1396156915 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275947087 LILLIAN HOLLARS
Individual
Counselor (Mental Health)3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1376915009 NADENE MARIE SPIVEY MA, LPCA
Individual
Counselor (Mental Health)3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1376934869 LINDA RUSSELL LCSW
Individual
Social Worker (Clinical)3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1124525688 STACI HUBBARD LPCA
Individual
Counselor (Mental Health)3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1841769569 SHERRY DAWN MADDOX LPCC
Individual
Counselor (Mental Health)3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1649825076 AMY LEIGH WHITAKER-SOEHNLEIN
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1770140105 AMBER DAWN MOUNCE BA
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1891271565 JESSICA LEE STEVENSON MA
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1346830478 CHIP MATTHEW ZELLER BS
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1669062360 SHELBY LYNN ACEY HONAKER BSW
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1104495696 BRANDI LEANN FRAZIER MSW
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1245984541 KYLIE BRIANNA WARREN
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1881329530 SHAWNA RAELYN ROSE
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1609594043 HALA NASSER AYYASH
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1013620210 MACKENZIE NICOLE CROSS
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1023889110 EMILY NICOLE IDLEWINE LPCA
Individual
Counselor3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1417709502 ADAM LANE PFEIFFER
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1568046225 LEE ANNE DISHMAN MASTER OF ARTS
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1255152989 TODD DAVID UNTHANK
Individual
Case Manager/Care Coordinator3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815
1437516101 PAIGE MARIE PAULEY LPCC-S, NCC
Individual
Counselor3540 S HIGHWAY 27 STE 4
SOMERSET, KY 42501
(606) 679-1815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396156915, enumerated in the NPI registry as an "individual" on May 16, 2014

The provider is located at 3540 S Highway 27 Ste 4 Somerset, Ky 42501 and the phone number is (606) 679-1815

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).

This NPI record was last updated on May 16, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.