Shannon Renee Birkhold, LLP, LPC, CAADC is a medicare enrolled "Counselor - Mental Health" provider in Portage, Michigan. Her current practice location is
5900 Portage Rd, Portage, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 718-3366.
Shannon Renee Birkhold is licensed to practice in Michigan (license number 6401011403) 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 1558502617.
Healthcare Provider's Profile
| Full Name | Shannon Renee Birkhold |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 5900 Portage Rd, Portage, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558502617
- Provider Enumeration Date: 03/18/2009
- Last Update Date: 06/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 2567996200
- Enrollment ID: I20241118000514
Medical Identifiers
Medical identifiers for Shannon Renee Birkhold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558502617 | NPI | - | NPPES |
| 774349006 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC1900X | Psychologist - Counseling | 6301013953 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6401011403 (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 Renee Birkhold allows following entities to bill medicare on her behalf.
| Entity Name | Diane M Kanous |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588837736 PECOS PAC ID: 0143389031 Enrollment ID: O20081106000758 |
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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 Renee Birkhold 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 Renee Birkhold, LLP, LPC, CAADC 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 Ph: (269) 373-6000 | Shannon Renee Birkhold, LLP, LPC, CAADC 5900 Portage Rd, Portage, MI 49002-1774 Ph: (269) 718-3366 |
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