Shannon Marie Burke, LPCC in Moriarty, NM - Medicare Counselor Provider

Shannon Marie Burke, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Moriarty, New Mexico. Her current practice location is 1209 W Us Route 66 Ste A, Moriarty, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 220-6971.

Shannon Marie Burke is licensed to practice in New Mexico (license number 0156191) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922319938.

Contact Information

	Shannon Marie Burke, LPCC
	1209 W Us Route 66 Ste A, Moriarty, NM 87035-1039
	(505) 220-6971
	(505) 832-4441

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Marie Burke
Gender	Female
Speciality	Counselor - Mental Health
Location	1209 W Us Route 66 Ste A, Moriarty, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922319938
Provider Enumeration Date: 06/24/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6507394590
Enrollment ID: I20250103000972

Medical Identifiers

Medical identifiers for Shannon Marie Burke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922319938	NPI	-	NPPES
1841738820	Other		BILLING NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	T-0130231 (New Mexico)	Secondary
101YM0800X	Counselor - Mental Health	0156191 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Marie Burke allows following entities to bill medicare on her behalf.

Entity Name	Positive Change Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841738820 PECOS PAC ID: 5698203685 Enrollment ID: O20250103000918

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Marie Burke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon Marie Burke, LPCC 21 Dingo Rd, Moriarty, NM 87035-5498 Ph: (505) 220-6971	Shannon Marie Burke, LPCC 1209 W Us Route 66 Ste A, Moriarty, NM 87035-1039 Ph: (505) 220-6971

Reviews and Comments

Counselor in Moriarty, NM

Mailin Miranda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 W Abrahames Rd Ste D, Moriarty, NM 87035 Phone: 505-384-0220
Phillip Pasena, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Rte 66 W, Suite F, Moriarty, NM 87035 Phone: 505-433-8822
Dr. Philip B Terry-smith, PH.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 Chavez Rd, Moriarty, NM 87035 Phone: 505-305-0933
Vashti Jean Schweedler, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 Us Rt. 66, Suite D, Moriarty, NM 87035 Phone: 505-832-9135 Fax: 505-832-9404
Sara Lombardi, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1209 W Us Route 66 Ste A, Moriarty, NM 87035 Phone: 505-303-9597 Fax: 505-832-4441
Melissa Ann Nandino, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Route 66,, Moriarty, NM 87035 Phone: 505-705-0756
Mrs. Julie Ann Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86b Martin Ln, Moriarty, NM 87035 Phone: 505-659-8721

Shannon Marie Burke, LPCC - Medicare Counselor in Moriarty, NM