SHANNON LAMAR CHAVIS LMHC, CAP
NPI 1033589387
Counselor - Mental Health in Jacksonville, FL
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Chavis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ocala, FL 34474
- Reassigned Medicare billing, Florida enrollment
- 369 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Shannon Chavis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Chavis reassigns Medicare benefits to Balanced Wellbeing LLC (Ocala, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Chavis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Chavis accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Shannon Chavis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Shannon Lamar Chavis, LMHC, CAP · NPI 1033589387
Mental Health provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since September 30, 2015.
## Identity
- **NPI:** 1033589387 (Entity type: Individual)
- **Enumerated:** September 30, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH17417 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1390 OLD MIDDLEBURG RD N, Jacksonville, FL 32210-1170
- **Phone:** (850) 284-9555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Balanced Wellbeing LLC (NPI 1336513639, Ocala, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033589387) · Data from the CMS NPPES public registry.