SHANNON KELLY MCFAULS LMHC
NPI 1811231061
Counselor - Mental Health in Yulee, FL

Q: What is Shannon Mcfauls's NPI number?

The NPI number for Shannon Mcfauls is 1811231061. It was assigned to this individual provider in the NPPES registry on November 11, 2012.

Q: What is Shannon Mcfauls's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Mcfauls was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since November 11, 2012PECOS Enrolled

463380 STATE ROAD 200 UNIT B, YULEE, FL 32097(904) 500-9808(904) 432-0401 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2022, Oct 8, 2019, Sep 18, 2018 (3 updates tracked since 2018).

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About Shannon Kelly Mcfauls Lmhc NPPES

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

SHANNON KELLY MCFAULS LMHC (NPI 1811231061) is an individual mental health provider in Yulee, Florida, licensed in Florida (MH17398) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811231061

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHANNON KELLY MCFAULSCredential: LMHC

Location Address463380 STATE ROAD 200 UNIT BYulee, FL 32097-3240

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

Phone(904) 500-9808

Fax(904) 432-0401

Sole ProprietorYes

Enumeration DateNovember 11, 2012

Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1811231061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · MH17398✔ Licensed in FL · 17398

463380 STATE ROAD 200 UNIT B, Yulee, FL 32097

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Secondary Practice Locations 2

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

Location 21540 Navaho AveJacksonville, FL 32210-1134 · Phone (904) 513-0379

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Kelly Mcfauls 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.

Other Providers at the Same Location NPPES

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

PHYSICIANS GROUP SERVICES PA

Family Medicine

463380 STATE ROAD 200 UNIT B
YULEE, FL 32097

Nassau County (904) 282-6331

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 Mcfauls's NPI number?

The NPI number for Shannon Mcfauls is 1811231061. It was assigned to this individual provider in the NPPES registry on November 11, 2012.

Where is Shannon Mcfauls located?

Shannon Mcfauls practices at 463380 State Road 200 Unit B, Yulee, FL 32097. The listed phone number is (904) 500-9808.

What is Shannon Mcfauls's specialty?

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

Is Shannon Mcfauls enrolled in Medicare?

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

What insurance does Shannon Mcfauls 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 Mcfauls 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 Mcfauls was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.