| Shannon Lee Costa, MS, LMHC | |
|
205 Burlington Rd, Bedford, MA 01730-1406 | |
| (781) 761-5155 | |
| Not Available |
| Full Name | Shannon Lee Costa |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 205 Burlington Rd, Bedford, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073169918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11076 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Child And Family Psychological Services Pllc | 5991763823 | 204 |
| Entity Name | Child And Family Psychological Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Lee Costa, MS, LMHC 205 Burlington Rd, Bedford, MA 01730-1406 Ph: (781) 761-5155 | Shannon Lee Costa, MS, LMHC 205 Burlington Rd, Bedford, MA 01730-1406 Ph: (781) 761-5155 |
Jillian Orr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-862-3600 | |
Molly Kay Cowan, LCPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-862-3600 | |
Kyle Patrick Gagen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5148 Fax: 781-275-7206 | |
Deirdre Roche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-826-3100 | |
Kayla Rose Haskin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 301-787-1295 | |
Melissa Jane Wentworth, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5209 |