SHANNON N LEARY (LPC, NCC, CSAC) – Professional Counselor, NPI 1417203878

SHANNON N LEARY (LPC, NCC, CSAC) is a healthcare provider. based in Newport news, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, NCC, CSAC. They hold a License No. 0710102436 (VA). The NPI Number for SHANNON N LEARY (LPC, NCC, CSAC) is 1417203878

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON N LEARY (LPC, NCC, CSAC)
NPI
1417203878
Phone
(757) 969-6848
Address
1 OLD OYSTER POINT RD
Enumeration Date
3 August 2012
Last Update Date
3 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7572530371
Graduation Year
2007 (19 years ago)
PAC ID
6305375239
Group Practice PAC ID
8426016684
Professional Enrollment ID
I20250122002478
Address ID
VA231855855WI217XXCIRX311
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for SHANNON N LEARY (LPC, NCC, CSAC)

  • 1 OLD OYSTER POINT RD

    STE. 250

    NEWPORT NEWS, VA 236027121

    Phone: (757) 969-6848

    Fax: (757) 969-6849

    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: 2025-01-22

PECOS data refreshed: 2026-06-15

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
I20250122002478IMental Health CounselorVATBD

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 23602)

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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: 8426016684View full group profile
NameSpecialtyState
Clinical PsychologistNM
Clinical PsychologistVA
Mental Health CounselorVA
Nurse PractitionerAZ
Clinical PsychologistVA
Clinical PsychologistVA
Clinical PsychologistVA
Mental Health CounselorVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

Is there an official ID for SHANNON N LEARY (LPC, NCC, CSAC) in U.S. healthcare records?
The official identifier for SHANNON N LEARY (LPC, NCC, CSAC) is NPI 1417203878.
Is SHANNON N LEARY (LPC, NCC, CSAC) still an active registrant?
SHANNON N LEARY (LPC, NCC, CSAC) carries an active NPI according to the public dataset.
What area of care is associated with SHANNON N LEARY (LPC, NCC, CSAC)?
SHANNON N LEARY (LPC, NCC, CSAC)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Is SHANNON N LEARY (LPC, NCC, CSAC) located near Newport News?
SHANNON N LEARY (LPC, NCC, CSAC) currently maps to Newport News, Virginia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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