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SHANNON DAWN COFFEY LMHC
NPI 1679745921
Counselor - Mental Health in Jacksonville, FL

Active since March 27, 2008PECOS Enrolled
11820 BEACH BLVD, JACKSONVILLE, FL 32246(904) 642-9100(904) 642-9108 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Dawn Coffey Lmhc NPPES

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

SHANNON DAWN COFFEY LMHC (NPI 1679745921) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH4581) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679745921
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON DAWN COFFEYCredential: LMHC
Location Address11820 BEACH BLVDJacksonville, FL 32246-6670
Mailing AddressPo Box 19249Jacksonville, FL 32245-9249 · (904) 743-1883 · Fax (904) 743-5109
Phone(904) 642-9100
Fax(904) 642-9108
Sole ProprietorNo
Enumeration DateMarch 27, 2008
Last NPPES UpdateJune 3, 2008
✔ NPI 1679745921 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 · MH4581
11820 BEACH BLVD, Jacksonville, FL 32246
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Dawn Ishee Lmhc

Other Identifiers 1

Medicaid762023300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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 Dawn Coffey Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shannon Coffey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ibis Healthcare Inc
163 mi
Federally Qualified Health Center (FQHC)
13601 BRUCE B DOWNS BLVD. SUITE 131
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
NPI 1922777218 (813) 239-8069
Brandon Mental Health
169 mi
Community/Behavioral Health
1134 BELL SHOALS RD.
Brandon, FL 33511
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1649421389 (813) 315-8648

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 13

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

RASHEEDAH STOWE
Social Worker
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100
MIKIANTHA FRANCIS
Nurse Practitioner (Psychiatric/Mental Health)
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100
MISS AIMEE LYNN PROVO BS
Social Worker
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100
MS. AMY MARIE NELSON LMHC
Counselor (Mental Health)
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100
DEBABRATA SAHA MD
Psychiatry & Neurology (Psychiatry)
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100
MAGGIE LO
Social Worker (Clinical)
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100
DIANNA LOUISE TOMPKINS APRN
Nurse Practitioner (Psychiatric/Mental Health)
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100
MS. LEIGH ANNE SAMPLES LMHC
Counselor (Mental Health)
11820 BEACH BLVD
JACKSONVILLE, FL 32246
Duval County (904) 642-9100

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 Coffey's NPI number?

The NPI number for Shannon Coffey is 1679745921. It was assigned to this individual provider in the NPPES registry on March 27, 2008. The provider is also known as Shannon Dawn Ishee Lmhc.

Where is Shannon Coffey located?

Shannon Coffey practices at 11820 Beach Blvd, Jacksonville, FL 32246. The listed phone number is (904) 642-9100.

What is Shannon Coffey's specialty?

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

Is Shannon Coffey enrolled in Medicare?

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

Which organizations bill Medicare for Shannon Coffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Coffey reassigns Medicare benefits to 2 organizations: Ibis Healthcare Inc (Tampa, FL) and Brandon Mental Health (Brandon, 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 Shannon Coffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Coffey accept?

Health plans from Oscar Health Maintenance Organization of Florida list Shannon Coffey 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 Coffey was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.