Individual provider Active NPI

Shawndre Marie Leydon, LMHC

  • Social Worker
  • Port St Lucie, FL
National Provider Identifier
1013446194
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
8505 S US Highway 1
Port St Lucie, FL 34952-3346
Phone
(772) 353-2485
Fax
(772) 264-6291
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC8175 ME
Mental Health Counselor 101YM0800X 37PC01069400 NJ
Social Worker 104100000X FL Primary
Mental Health Counselor 101YM0800X LMHC10000080 MA
Mental Health Counselor 101YM0800X MH20160 FL

Addresses

Primary practice location

8505 S US Highway 1
Port St Lucie, FL 34952-3346

Mailing address

8505 S US Highway 1
Port St Lucie, FL 34952-3346
Phone (772) 353-2485

Other practice location 1

42 Elm St
Guilford, ME 04443-6311
Phone (772) 353-2485

Other practice location 2

502 1/2 McCabe Ave
Bradley Beach, NJ 07720-1456
Phone (772) 353-2485

Other practice location 3

2387 Winthrop St
North Dighton, MA 02764-1015
Phone (772) 353-2485

Other identifiers 1

IdentifierTypeStateIssuer
123422200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240327003986 FL Practitioner - Mental Health Counselor 8820435621 Reassigns benefits to 2 organizations
I20240827000684 MA Practitioner - Mental Health Counselor 8820435621 Reassigns benefits to 1 organization
I20241210003500 NJ Practitioner - Mental Health Counselor 8820435621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

8505 S US Hwy 1
Port St Lucie, FL 34952-3349
Phone (772) 353-2485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC8175MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Counseling LLC Mental Health CurrentSince Jul 27, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 22, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 6, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8505 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 353-2485

1680 SW Bayshore Blvd
Ste 233
Port St Lucie, FL 34984
Phone (772) 353-2485

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

2387 Winthrop St
North Dighton, MA 02764
Phone (772) 353-2485

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Networks

  • FL HMO
  • FL HMO C-SNP
  • FL HMO D-SNP
  • FL PPO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1013446194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-353-2485",
            "fax_number": "772-264-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-353-2485",
            "fax_number": "772-264-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Elm St",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "ME",
            "postal_code": "044436311",
            "country_code": "US",
            "telephone_number": "772-353-2485",
            "fax_number": "772-264-6291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 1/2 McCabe Ave",
            "address_purpose": "LOCATION",
            "city": "Bradley Beach",
            "state": "NJ",
            "postal_code": "077201456",
            "country_code": "US",
            "telephone_number": "772-353-2485",
            "fax_number": "772-264-6291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2387 Winthrop St",
            "address_purpose": "LOCATION",
            "city": "North Dighton",
            "state": "MA",
            "postal_code": "027641015",
            "country_code": "US",
            "telephone_number": "772-353-2485",
            "fax_number": "772-264-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYDON",
        "first_name": "SHAWNDRE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC8175",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01069400",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000080",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123422200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.