1. Home
  2. Directory
  3. Florida
  4. Freeport
  5. Counselor
  6. NPI Profile

SHANNON BRUNSON LMHC
NPI 1558479089
Counselor - Mental Health in Freeport, FL

Active since August 25, 2006PECOS Enrolled
188 LODGE RD, FREEPORT, FL 32439(850) 333-6283 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 30, 2025, Sep 25, 2024 (2 updates tracked since 2024).

About Shannon Brunson Lmhc NPPES

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

SHANNON BRUNSON LMHC (NPI 1558479089) is an individual mental health provider in Freeport, Florida, licensed in Florida (MH4811) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1558479089
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON BRUNSONCredential: LMHC
Location Address188 LODGE RDFreeport, FL 32439-2212
Mailing Address188 Lodge RdFreeport, FL 32439-2212 · (850) 333-6283
Phone(850) 333-6283
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 30, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1558479089 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 · MH4811
188 LODGE RD, Freeport, FL 32439
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14591 FL-20Niceville, FL 32578 · Phone (850) 899-2233
Location 2188 Lodge RdFreeport, FL 32439-2212 · Phone (850) 333-6283

Other Identifiers 1

Medicaid765950900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Brunson Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062852411
PECOS Enrollment IDI20240501004143
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 Reassignment

Medicare enrollment records show Shannon Brunson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Experiential Healing PLLC
Same address
Mental Health
188 LODGE RD
Freeport, FL 32439
  • Reassigned Medicare billing, Florida enrollment
NPI 1538961164 (850) 333-6283

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

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

EXPERIENTIAL HEALING PLLC
Counselor (Mental Health)
188 LODGE RD
FREEPORT, FL 32439
Walton County (850) 333-6283

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 Brunson's NPI number?

The NPI number for Shannon Brunson is 1558479089. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Shannon Brunson located?

Shannon Brunson practices at 188 Lodge Rd, Freeport, FL 32439. The listed phone number is (850) 333-6283.

What is Shannon Brunson's specialty?

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

Is Shannon Brunson enrolled in Medicare?

Yes. Shannon Brunson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Brunson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Brunson reassigns Medicare benefits to Experiential Healing PLLC (Freeport, 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 Brunson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Brunson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Shannon Brunson 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 Brunson was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.