SHANNON E RAIKES M.ED., LMHC
NPI 1720602527
Counselor - Mental Health in Jacksonville, FL

Active since June 08, 2020
13990 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258(214) 551-5365 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shannon E Raikes M.ed., Lmhc NPPES

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

SHANNON E RAIKES M.ED., LMHC (NPI 1720602527) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH16624) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1720602527
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON E RAIKESCredential: M.ED., LMHC
Location Address13990 BARTRAM PARK BLVD UNIT 209Jacksonville, FL 32258-5543
Mailing Address13990 Bartram Park Blvd Unit 209Jacksonville, FL 32258-5543 · (214) 551-5365
Sole ProprietorNo
Enumeration DateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1720602527 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 · MH16624
13990 BARTRAM PARK BLVD UNIT 209, Jacksonville, FL 32258

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 Raikes's NPI number?

The NPI number for Shannon Raikes is 1720602527. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Shannon Raikes located?

Shannon Raikes practices at 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258. The listed phone number is (214) 551-5365.

What is Shannon Raikes'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 Shannon Raikes was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.