Individual provider Active NPI

Shasta Lynn Calderon, LMHC

  • Mental Health Counselor
  • Riverview, FL
National Provider Identifier
1093682494
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26683 Issued in FL
Practice address
10021 Water Works LN
Riverview, FL 33578-5304
Phone
(813) 677-1555
Fax
(813) 515-1790
NPI assigned
Oct 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH26683 FL Primary

Addresses

Primary practice location

10021 Water Works LN
Riverview, FL 33578-5304

Mailing address

9637 Ivory Dr
Ruskin, FL 33573-6793

Other practice location 1

926 Cypress Village Blvd Ste B
Ruskin, FL 33573-6831
Phone (813) 819-5271

Other names 1

  • Shasta Lynn Snyder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260217000170 FL Practitioner - Mental Health Counselor 1759861081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

926 Cypress Village Blvd
Suite B
Ruskin, FL 33573-6831
Phone (833) 362-7935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH26683FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Feb 10, 2026 Accepting new patients
Lehigh Acres BG Opco LLC CurrentSince Feb 10, 2026 Accepting new patients
Dna Comprehensive Therapy Services, LLC Mental Health Past Accepting new patients

Locations

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

926 Cypress Village Blvd
Ste B
Sun City Center, FL 33573
Phone (813) 819-5271

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

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": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1093682494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9637 IVORY DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 WATER WORKS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785304",
            "telephone_number": "813-677-1555",
            "fax_number": "813-515-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Cypress Village Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335736831",
            "country_code": "US",
            "telephone_number": "813-819-5271",
            "fax_number": "813-819-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "SHASTA",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASTA",
            "last_name": "SNYDER",
            "middle_name": "LYNN",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.