BONNIE KELLOGG SHINHEARL (PC) – Mental Health Counselor, NPI 1205141629

BONNIE KELLOGG SHINHEARL (PC) is a healthcare provider. based in Mentor, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PC. They hold a License No. C0700089 (OH). The NPI Number for BONNIE KELLOGG SHINHEARL (PC) is 1205141629

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE KELLOGG SHINHEARL (PC)
NPI
1205141629
Phone
(440) 255-1700
Address
8445 MUNSON RD
Enumeration Date
10 August 2010
Last Update Date
10 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4405105100
Graduation Year
2008 (18 years ago)
PAC ID
3870033186
Group Practice PAC ID
4880625151
Professional Enrollment ID
I20240912001813
Address ID
OH440949162WI34950RDXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for BONNIE KELLOGG SHINHEARL (PC)

  • 8445 MUNSON RD

    MENTOR, OH 440602410

    Phone: (440) 255-1700

    Fax: (440) 205-2417

    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: 2024-09-12

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
I20240912001813IMental Health CounselorOHTBD

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 44060)

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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: 4880625151View full group profile
NameSpecialtyState
Mental Health CounselorOH
Certified Clinical Nurse Specialist (Cns)OH
-OH
P S Y C H I A T R YOH
P S Y C H I A T R YOH
-OH
-OH

Reviews

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Frequently asked questions

What is BONNIE KELLOGG SHINHEARL (PC)'s NPI number?
BONNIE KELLOGG SHINHEARL (PC)'s NPI is 1205141629 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to BONNIE KELLOGG SHINHEARL (PC)?
You should see BONNIE KELLOGG SHINHEARL (PC) as active in CMS-hosted NPPES data.
What area of care is associated with BONNIE KELLOGG SHINHEARL (PC)?
BONNIE KELLOGG SHINHEARL (PC)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BONNIE KELLOGG SHINHEARL (PC)?
Travel planning: use Mentor, Ohio as the reference point for BONNIE KELLOGG SHINHEARL (PC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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