MY THERAPIST SHANNON LLC
NPI 1619777430
Counselor - Mental Health in Jacksonville, FL

Q: What is My Therapist Shannon LLC's NPI number?

The NPI number for My Therapist Shannon LLC is 1619777430. It was assigned to this organization in the NPPES registry on March 19, 2025.

Q: What is My Therapist Shannon LLC's specialty?

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

Active since March 19, 2025

1540 NAVAHO AVE, JACKSONVILLE, FL 32210(904) 513-0379 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About My Therapist Shannon Llc NPPES

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

MY THERAPIST SHANNON LLC (NPI 1619777430) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Jacksonville and lists Shannon Mcfauls, Owner, as its authorized official.

NPPES Registry Identity

NPI1619777430

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameMY THERAPIST SHANNON LLC

Location Address1540 NAVAHO AVEJacksonville, FL 32210-1134

Mailing Address1540 Navaho AveJacksonville, FL 32210-1134 · (904) 513-0379

Phone(904) 513-0379

Organization SubpartNo

Authorized OfficialShannon McfaulsOwner · (904) 513-0379

Enumeration DateMarch 19, 2025

Last NPPES UpdateMarch 21, 2025

NPPES CertifiedMarch 21, 2025

✔ NPI 1619777430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1540 NAVAHO AVE, Jacksonville, FL 32210

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Secondary Practice Location 1

Location 12309 Park StJacksonville, FL 32204-4317 · Phone (904) 513-0379

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 My Therapist Shannon LLC's NPI number?

The NPI number for My Therapist Shannon LLC is 1619777430. It was assigned to this organization in the NPPES registry on March 19, 2025.

Where is My Therapist Shannon LLC located?

My Therapist Shannon LLC is located at 1540 Navaho Ave, Jacksonville, FL 32210. The listed phone number is (904) 513-0379.

What is My Therapist Shannon LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for My Therapist Shannon LLC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.