SHANNON RENE GORIS (LPC) – Counselor, NPI 1285172338

SHANNON RENE GORIS (LPC) is a healthcare provider. based in Rochester hills, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 6401015889 (MI). The NPI Number for SHANNON RENE GORIS (LPC) is 1285172338

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON RENE GORIS (LPC)
NPI
1285172338
Phone
(248) 608-4514
Address
1460 WALTON BLVD STE 60
Enumeration Date
9 February 2017
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486084514
Graduation Year
2017 (9 years ago)
PAC ID
2466978754
Group Practice PAC ID
4082156856
Professional Enrollment ID
I20250429003897
Address ID
MI483091729RO1460XBLVD303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for SHANNON RENE GORIS (LPC)

  • 1460 WALTON BLVD STE 60

    ROCHESTER HILLS, MI 483091729

    Phone: (248) 608-4514

    Type: Location

  • Normandy Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480731840

    Phone: (248) 840-7792

    Type: Mailing

  • 10975 CEDAR ISLAND RD

    WHITE LAKE, MI 483862609

    Phone: (248) 840-7792

    Type: Mailing

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: 2025-04-29

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
I20250429003897IMental Health CounselorMITBD

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 48309)

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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: 4082156856View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

How do I look up SHANNON RENE GORIS (LPC) by NPI?
Use NPI 1285172338 when you need to reference SHANNON RENE GORIS (LPC) in forms, claims, or directories.
Does this profile mean SHANNON RENE GORIS (LPC) is currently active?
Yes — SHANNON RENE GORIS (LPC) appears active in the national provider directory.
What kind of provider is SHANNON RENE GORIS (LPC)?
The page reflects Counselor for SHANNON RENE GORIS (LPC). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON RENE GORIS (LPC)?
The page summarizes Rochester Hills, Michigan for SHANNON RENE GORIS (LPC); expand the address list for detail.
What if Rochester Hills, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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