Shannon Lundequam Healy, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10647 Issued in FL

Practice address

549 N Wymore Rd Ste 110a
Maitland, FL 32751-4245

Phone

(321) 436-4887

NPI assigned

Sep 19, 2019

Last updated

Sep 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1316597545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 N WYMORE RD STE 110A",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514245",
            "telephone_number": "321-436-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 N WYMORE RD STE 110A",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514245",
            "telephone_number": "321-436-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "SHANNON",
        "middle_name": "LUNDEQUAM",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Hatcher
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• Samantha Head, MSW
• Royale Heart
• Maryanne Elizabeth Hebel
• Angela Christine Heck, MSW RCSWI
• Jennifer Renee' Helsel, FNP-BC APRN
• Jessica Henderson

• Mental Health Counselor in Maitland, FL
• Providers in Maitland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.