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LA SHAUNE JALEEN MCCOTTRY
NPI 1306289095
Counselor in Wellington, FL

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
12008 S SHORE BLVD STE 211, WELLINGTON, FL 33414(561) 223-1066 Get Directions Write a Review

NPPES record last updated: March 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About La Shaune Jaleen Mccottry NPPES

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

LA SHAUNE JALEEN MCCOTTRY (NPI 1306289095) is an individual counselor in Wellington, Florida and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1306289095
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLA SHAUNE JALEEN MCCOTTRY
Location Address12008 S SHORE BLVD STE 211Wellington, FL 33414-6396
Mailing Address12008 S Shore Blvd Ste 211Wellington, FL 33414-6396 · (561) 223-1066
Phone(561) 223-1066
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 11, 2013
Last NPPES UpdateMarch 10, 2024
NPPES CertifiedMarch 10, 2024
✔ NPI 1306289095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
12008 S SHORE BLVD STE 211, Wellington, FL 33414
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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

La Shaune Jaleen Mccottry 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 ID3779015680
PECOS Enrollment IDI20241016004694
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.

Medicare Billing Reassignments

2

Medicare enrollment records show La Shaune Mccottry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mtca Psychological Services P.A.
50 mi
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
NPI 1740552322 (786) 414-6666
Senior Living Memory Health, Inc.
50 mi
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
NPI 1851847834 (786) 414-6666

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 La Shaune Mccottry's NPI number?

The NPI number for La Shaune Mccottry is 1306289095. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is La Shaune Mccottry located?

La Shaune Mccottry practices at 12008 S Shore Blvd Ste 211, Wellington, FL 33414. The listed phone number is (561) 223-1066.

What is La Shaune Mccottry's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is La Shaune Mccottry enrolled in Medicare?

Yes. La Shaune Mccottry 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 organizations bill Medicare for La Shaune Mccottry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), La Shaune Mccottry reassigns Medicare benefits to 2 organizations: Mtca Psychological Services P.A. (North Miami Beach, FL) and Senior Living Memory Health, Inc. (North Miami Beach, FL). Each 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 La Shaune Mccottry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for La Shaune Mccottry was last updated on March 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.