SHANNON ALFORD – Mental Health Counselor, NPI 1134767692

SHANNON ALFORD is a healthcare provider. based in Indianapolis, Indiana. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 39003421A (IN). The NPI Number for SHANNON ALFORD is 1134767692

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON ALFORD
NPI
1134767692
Phone
(317) 925-2833
Address
6130 MICHIGAN RD
Enumeration Date
16 December 2019
Last Update Date
16 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3176320123
Graduation Year
2015 (11 years ago)
PAC ID
4385182393
Group Practice PAC ID
1052732666
Professional Enrollment ID
I20240821001258
Address ID
IN462013808IN26XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

893 MENTAL HEALTH COUNSELOR in IN

Provider Addresses for SHANNON ALFORD

  • 6130 MICHIGAN RD

    INDIANAPOLIS, IN 462281200

    Phone: (317) 925-2833

    Fax: (833) 208-5259

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240821001258IMental Health CounselorINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46228)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052732666View full group profile
NameSpecialtyState
Mental Health CounselorIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Clinical Social WorkerIN
Clinical Social WorkerIN
Nurse PractitionerIN
Clinical Social WorkerIN
Nurse PractitionerIN
Family PracticeIN

Reviews

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Frequently asked questions

How is SHANNON ALFORD identified in CMS data?
CMS-hosted NPPES data lists SHANNON ALFORD with NPI 1134767692.
Does the file indicate SHANNON ALFORD is practicing under active NPI?
Directory data currently reports SHANNON ALFORD as active.
What healthcare role does SHANNON ALFORD hold?
Scheduling teams often label SHANNON ALFORD under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for SHANNON ALFORD?
SHANNON ALFORD's geographic hint is Indianapolis, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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