SHANNON WOODARD (LPCC-S) – Mental Health Counselor, NPI 1639539059

SHANNON WOODARD (LPCC-S) is a healthcare provider. based in Akron, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC-S. They hold a License No. E.1400011-SUPV (OH). The NPI Number for SHANNON WOODARD (LPCC-S) is 1639539059

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON WOODARD (LPCC-S)
NPI
1639539059
Phone
(330) 315-2672
Address
725 E MARKET ST
Enumeration Date
26 February 2016
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309152907
Graduation Year
2008 (18 years ago)
PAC ID
2163867029
Group Practice PAC ID
5092104109
Professional Enrollment ID
I20240301000164
Address ID
OH447182981CA4200XNWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for SHANNON WOODARD (LPCC-S)

  • 725, East Market Street, Arlington, Akron, Summit County, Ohio, 44305, United States

    AKRON, OH 443052421

    Phone: (330) 315-2672

    Type: Location

  • 615 ELSINORE PL STE 300

    CINCINNATI, OH 452021475

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    Type: Mailing

  • 3545 LINCOLN WAY E STE B

    MASSILLON, OH 446468624

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    Type: Location

  • 5611 Hudson Dr Ste 400

    Hudson, OH 442364452

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    Type: Location

  • 4522 Fulton Dr NW

    Canton, OH 447182332

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    Type: Location

  • BrightView, 446, Morgan Street, Gilbert-Sinton Historic District, Walnut Hills, Cincinnati, Hamilton County, Ohio, 45206, United States

    CINCINNATI, OH 452062348

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    Type: Mailing

  • 4522 FULTON DR NW

    CANTON, OH 447182332

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    Type: Mailing

  • 4200 MUNSON ST NW STE A

    CANTON, OH 447182981

    Phone: (330) 915-2907

    Fax: (330) 915-2958

    Type: Location

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: 2024-03-01

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
I20240301000164IMental 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 44305)

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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: 5092104109View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What unique ID ties claims to SHANNON WOODARD (LPCC-S)?
NPI 1639539059 is assigned to SHANNON WOODARD (LPCC-S) under the national enumeration system.
Is SHANNON WOODARD (LPCC-S)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SHANNON WOODARD (LPCC-S) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for SHANNON WOODARD (LPCC-S). Clinical services aligned with this taxonomy classification.
Where is SHANNON WOODARD (LPCC-S)'s primary listing?
We display Akron, Ohio because that is what the record indicates for SHANNON WOODARD (LPCC-S).
How can I contact SHANNON WOODARD (LPCC-S)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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