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

Individual provider Mental Health Counselor · NPI 1356692792

Shane Andrew Kavanaugh, MS, LMHC is a Mental Health Counselor in Ames, Iowa. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
14
Licensed in
IA
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

125 S 3rd St
Ames, IA 50010-7042
Phone: (515) 661-4210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 001560 (IA)

Record details

NPI number1356692792
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LMHC
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESMarch 13, 2015

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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