SHANE NICHOLAS WILLIAMSON LMHC
NPI 1356890693
Counselor - Mental Health in Sanford, FL

Active since September 28, 2016PECOS EnrolledAccepts Medicare Assignment
722 TRADE WAY, SANFORD, FL 32771(833) 769-3524(407) 915-4387 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Oct 28, 2022, Sep 28, 2016 (3 updates tracked since 2016).

About Shane Nicholas Williamson Lmhc NPPES

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

SHANE NICHOLAS WILLIAMSON LMHC (NPI 1356890693) is an individual mental health provider in Sanford, Florida, licensed in Florida (MH20135) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356890693
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE NICHOLAS WILLIAMSONCredential: LMHC
Location Address722 TRADE WAYSanford, FL 32771-8657
Mailing Address722 Trade WaySanford, FL 32771-8657 · (833) 769-3524 · Fax (407) 915-4387
Fax(407) 915-4387
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 28, 2016
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1356890693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH20135
722 TRADE WAY, Sanford, FL 32771

Accepted Insurance

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

Shane Nicholas Williamson Lmhc 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 ID1153770342
PECOS Enrollment IDI20231213002454
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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
722 TRADE WAY
SANFORD, FL 32771
Counselor (Mental Health)
722 TRADE WAY
SANFORD, FL 32771
Psychologist
722 TRADE WAY
SANFORD, FL 32771
Nurse Practitioner (Psychiatric/Mental Health)
722 TRADE WAY
SANFORD, FL 32771
Nurse Practitioner (Psychiatric/Mental Health)
722 TRADE WAY
SANFORD, FL 32771
Counselor (Mental Health)
722 TRADE WAY
SANFORD, FL 32771
Counselor (Mental Health)
722 TRADE WAY
SANFORD, FL 32771
Counselor (Mental Health)
722 TRADE WAY
SANFORD, FL 32771

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 Shane Williamson's NPI number?

The NPI number for Shane Williamson is 1356890693. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Shane Williamson located?

Shane Williamson practices at 722 Trade Way, Sanford, FL 32771. The listed phone number is (833) 769-3524.

What is Shane Williamson's specialty?

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

Is Shane Williamson enrolled in Medicare?

Yes. Shane Williamson 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.

What insurance does Shane Williamson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Shane Williamson 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 Shane Williamson was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.