Shannon Rene Goris, LPC in Rochester Hills, MI

Shannon Rene Goris, LPC is a medicare enrolled "Counselor" provider in Rochester Hills, Michigan. Her current practice location is 1460 Walton Blvd Ste 60, Rochester Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 608-4514.

Shannon Rene Goris is licensed to practice in Michigan (license number 6401017357) 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 1285172338.

Contact Information

	Shannon Rene Goris, LPC
	1460 Walton Blvd Ste 60, Rochester Hills, MI 48309-1729
	(248) 608-4514
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Rene Goris
Gender	Female
Speciality	Counselor
Location	1460 Walton Blvd Ste 60, Rochester Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285172338
Provider Enumeration Date: 02/09/2017
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 2466978754
Enrollment ID: I20250429003897

Medical Identifiers

Medical identifiers for Shannon Rene Goris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285172338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401015889 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6401017357 (Michigan)	Secondary
101Y00000X	Counselor	6401017357 (Michigan)	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 Rene Goris allows following entities to bill medicare on her behalf.

Entity Name	Tree Of Life Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023537495 PECOS PAC ID: 4082156856 Enrollment ID: O20240607001653

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 Rene Goris 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 Rene Goris, LPC 10975 Cedar Island Rd, White Lake, MI 48386-2609 Ph: (248) 840-7792	Shannon Rene Goris, LPC 1460 Walton Blvd Ste 60, Rochester Hills, MI 48309-1729 Ph: (248) 608-4514

Reviews and Comments

Counselor in Rochester Hills, MI

Danielle R Zipay, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1460 Walton Blvd, Suite 218, Rochester Hills, MI 48309 Phone: 810-278-2620
Benjamin Morrow, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1460 Walton Blvd, Rochester Hills, MI 48309 Phone: 248-608-4514
Mrs. Patricia H Sargent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3950 S Rochester Rd, # 1400, Rochester Hills, MI 48307 Phone: 248-844-6234 Fax: 248-844-6237
Nishani Jayawardena, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Rochdale Dr S Ste F, Rochester Hills, MI 48309 Phone: 248-608-4514
Meghan Ceverena Faught, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1460 Walton Blvd Ste 60, Rochester Hills, MI 48309 Phone: 248-608-4514
Jessica Lori Briggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1460 Walton Blvd Ste 60, Rochester Hills, MI 48309 Phone: 248-608-4514
Richard Powell, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 South Livernois, Suite 100, Rochester Hills, MI 48307 Phone: 248-467-3550

Shannon Rene Goris, LPC - Medicare Counselor in Rochester Hills, MI