SHAVARNE CARTER LMHC
NPI 1417636135
Counselor - Mental Health in Daytona Beach, FL

Active since July 12, 2023PECOS EnrolledAccepts Medicare Assignment
702 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114(800) 539-4228 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shavarne Carter Lmhc NPPES

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

SHAVARNE CARTER LMHC (NPI 1417636135) is an individual mental health provider in Daytona Beach, Florida and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417636135
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAVARNE CARTERCredential: LMHC
Location Address702 S RIDGEWOOD AVEDaytona Beach, FL 32114-5332
Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (386) 236-3215
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1417636135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
702 S RIDGEWOOD AVE, Daytona Beach, FL 32114

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

Shavarne Carter 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 ID547612210
PECOS Enrollment IDI20240118000371
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 Shavarne Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
420 STADIUM ROAD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 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.

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Counselor (Mental Health)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Counselor (Mental Health)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Counselor (Mental Health)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Counselor (Mental Health)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Social Worker (Clinical)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Social Worker (Clinical)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Social Worker (Clinical)
702 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114

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 Shavarne Carter's NPI number?

The NPI number for Shavarne Carter is 1417636135. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Shavarne Carter located?

Shavarne Carter practices at 702 S Ridgewood Ave, Daytona Beach, FL 32114. The listed phone number is (800) 539-4228.

What is Shavarne Carter's specialty?

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

Is Shavarne Carter enrolled in Medicare?

Yes. Shavarne Carter 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 Shavarne Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shavarne Carter reassigns Medicare benefits to 2 organizations: Sma Healthcare, Inc (Daytona Beach, FL) and Grow Healthcare Group PA (Miami, 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 Shavarne Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shavarne Carter accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Shavarne Carter 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 Shavarne Carter was last updated on July 12, 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.