Individual provider Active NPI

Shavon Meyers

  • Mental Health Counselor
  • Longmeadow, MA
National Provider Identifier
1366981961
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11512 Issued in MA
Practice address
1200 Converse St Ste L3
Longmeadow, MA 01106-1760
Phone
(413) 544-1737
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008583 CT
Mental Health Counselor 101YM0800X 37PC01165300 NJ
Mental Health Counselor 101YM0800X 11512 MA Primary

Addresses

Primary practice location

1200 Converse St Ste L3
Longmeadow, MA 01106-1760

Mailing address

1100 Overlook Dr Ste 230
Palmer, MA 01069-9316
Phone (413) 544-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11512MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center at Millbury LLC CurrentSince Jan 1, 2024 Accepting new patients
Gosnold, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Handel Behavioral Health Services Inc Past Accepting new patients

Locations

2328 10th Ave N
Ste 302
Lake Worth Beach, FL 33461
Phone (561) 318-4411

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

196 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 548-7118

29 Main St
Ste 100
Millbury, MA 01527
Phone (508) 433-3866

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1366981961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OVERLOOK DR STE 230",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010699316",
            "telephone_number": "413-544-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONVERSE ST STE L3",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061760",
            "telephone_number": "413-544-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "SHAVON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "008583",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01165300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.