What is Shannon Derico's NPI number?

Shannon Derico's National Provider Identifier (NPI) is 1548675739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Derico's specialty?

Shannon Derico is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Shannon Derico located?

Shannon Derico's practice location on file with NPPES is 1100 W 6th Ave, Gary, IN 46402-1711.

What is Shannon Derico's phone number?

The practice phone number listed in the NPPES registry for Shannon Derico is (219) 885-4264.

Is Shannon Derico's NPI active?

Yes — Shannon Derico's NPI (1548675739) is active in the NPPES registry as of the last update on 2014-06-25.

IndividualActive

Shannon Derico

NPI 1548675739 · Mental Health Counselor · Gary, IN

Shannon Derico is a Mental Health Counselor provider in Gary, IN (NPI 1548675739).

Provider details

NPI number: 1548675739
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1100 W 6th Ave

Gary, IN 46402-1711

Phone: (219) 885-4264

Fax: (219) 888-9408

Street-level locationGet directions

Mailing address