Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Shaughnessy

Individual provider Mental Health Counselor · NPI 1669002796

Kathleen Shaughnessy is a Mental Health Counselor in Orange, New Jersey. Qualified in 2016, 10 years ago. Practices with Theracorp, LLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2020

Practice location Address checks out

395 S Center St
Orange, NJ 07050-3205
Phone: (862) 253-4422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37AC00334300 (NJ)

Record details

NPI number1669002796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020
Mailing address26 Beaumont Pl Apt 3h, Newark, NJ 07104-1657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Theracorp, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Orange