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SHANNON LAMAR CHAVIS LMHC, CAP
NPI 1033589387
Counselor - Mental Health in Jacksonville, FL

Active since September 30, 2015PECOS EnrolledAccepts Medicare Assignment
1390 OLD MIDDLEBURG RD N, JACKSONVILLE, FL 32210(850) 284-9555 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2023, Sep 30, 2015 (2 updates tracked since 2015).

About Shannon Lamar Chavis Lmhc, Cap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON LAMAR CHAVIS LMHC, CAP (NPI 1033589387) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH17417) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033589387
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON LAMAR CHAVISCredential: LMHC, CAP
Location Address1390 OLD MIDDLEBURG RD NJacksonville, FL 32210-1170
Mailing Address1390 Old Middleburg Rd NJacksonville, FL 32210-1170 · (850) 284-9555
Phone(850) 284-9555
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 30, 2015
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1033589387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH17417
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 5894 (FL)
1390 OLD MIDDLEBURG RD N, Jacksonville, FL 32210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Lamar Chavis Lmhc, Cap is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123503372
PECOS Enrollment IDI20260326001197
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Chavis's NPI number?

The NPI number for Shannon Chavis is 1033589387. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Shannon Chavis located?

Shannon Chavis practices at 1390 Old Middleburg Rd N, Jacksonville, FL 32210. The listed phone number is (850) 284-9555.

What is Shannon Chavis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shannon Chavis enrolled in Medicare?

Yes. Shannon Chavis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Chavis was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.