MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC) – Mental Health Counselor, NPI 1043623382

Mental Health Counselor

MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC) is a healthcare provider. based in Weymouth, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A., NCC, LMHC. The NPI Number for MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC) is 1043623382

Main info

Female

Sole Proprietor

12 Years Of Experience

Accepts Medicare Assignment

Name

MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC)

NPI

1043623382

Phone

(781) 331-7866

Address

541 MAIN ST

Enumeration Date

4 June 2014

Last Update Date

13 November 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5085212200

Graduation Year

2014 (12 years ago)

PAC ID

4284086687

Group Practice PAC ID

7911315379

Professional Enrollment ID

I20240122003289

Address ID

MA021901845WE541XXSTXX301

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience29

Completeness75

Years active:12State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC)

541 MAIN ST
SUITE 303 STETSON BUILDING
WEYMOUTH, MA 021901868
Phone: (781) 331-7866
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: 2024-01-22

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240122003289	I	Mental Health Counselor	MA	TBD

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 02190)

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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: 7911315379View full group profile

Name	Specialty	State
MISS AVA FARWELL KAHN-MCQUEEN	Mental Health Counselor	MA
HOPE KORAM (LMHC)	Mental Health Counselor	MA
TERRA SMITH	Clinical Social Worker	CT
EUGENE MAKOWICZ	Clinical Social Worker	MA
STEPHANIE GILDEA	Mental Health Counselor	MA
SIVARIN NELSON	Mental Health Counselor	MA
MRS. STEPHANIE FRANCES MATTHEWS	Mental Health Counselor	MA
MS. MICHELE MARIE BYRNES (LCSW)	Clinical Social Worker	MA
CONOR LAVERY	Mental Health Counselor	MA
MS. ELLEN FONTE	Mental Health Counselor	MA

Reviews

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Frequently asked questions

How do payers reference MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC)?

For MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC), use NPI 1043623382 as the unique 10-digit identifier.

Active or inactive — what applies to MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC)?

You should see MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC) as active in CMS-hosted NPPES data.

What clinical focus is listed for MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC)?

At a glance, MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.

What locale is associated with MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC)?

Directory geography for MRS. SHANNON KATHLEEN ROY (M.A., NCC, LMHC) centers on Weymouth, Massachusetts.

What does 2 location(s) imply?

2 practice locations appear in the available data.