BRANDON MENTAL HEALTH
NPI 1649421389
Community/Behavioral Health in Brandon, FL
About Brandon Mental Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON MENTAL HEALTH (NPI 1649421389) is a healthcare organization registered as a community/behavioral health in Brandon, Florida and active in the NPI registry since September 2008. The organization lists Shane Thomas Raymond, C.e.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandon Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Brandon Mental Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 21Source: 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 Brandon Mental Health's NPI number?
The NPI number for Brandon Mental Health is 1649421389. It was assigned to this organization in the NPPES registry on September 30, 2008.
Where is Brandon Mental Health located?
Brandon Mental Health is located at 1134 Bell Shoals Rd., Brandon, FL 33511. The listed phone number is (813) 315-8648.
What is Brandon Mental Health's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Brandon Mental Health enrolled in Medicare?
Yes. Brandon Mental Health is registered in the Medicare PECOS enrollment system.
When is Brandon Mental Health's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Brandon Mental Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 2 Medicare specialties reassign their Medicare billing to Brandon Mental Health. A 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 the clinician's services. The largest specialties are Clinical Social Worker (16) and Mental Health Counselor (5). Of these, 2 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Brandon Mental Health accept?
Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Brandon Mental Health 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 Brandon Mental Health was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Brandon Mental Health · NPI 1649421389
Community/Behavioral Health organization in Brandon, Florida. Organization record, active in the CMS NPPES registry since September 30, 2008.
## Identity
- **NPI:** 1649421389 (Entity type: Organization)
- **Enumerated:** September 30, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Shane Raymond, C.E.O.
## Practice location
- **Address:** 1134 BELL SHOALS RD., Brandon, FL 33511
- **Phone:** (813) 315-8648 · **Fax:** (813) 438-8973
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 21 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (16), Mental Health Counselor (5); 2 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1649421389/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1649421389) · Data from the CMS NPPES public registry.