Individual provider Active NPI

Shandria Renee Woodall, LMHC, LPC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1518482108
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17842 Issued in FL
Practice address
1152 Longfellow Rd
Sarasota, FL 34243-1215
Phone
(941) 524-7654
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC015399 GA
Mental Health Counselor 101YM0800X MH17842 FL Primary

Addresses

Primary practice location

1152 Longfellow Rd
Sarasota, FL 34243-1215

Mailing address

1152 Longfellow Rd
Sarasota, FL 34243-1215
Phone (941) 524-7654

Other practice location 1

1753 Ringling Blvd
Sarasota, FL 34236-6874
Phone (941) 366-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240315002148 FL Practitioner - Mental Health Counselor 5597101220 Reassigns benefits to 3 organizations
I20250305000961 GA Practitioner - Mental Health Counselor 5597101220 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
Group practices
Foundations Family Support LLCGroup PAC ID 0547669731, 3 clinicians

Practice addresses (Care Compare)

4034 20TH St W
Foundations Bradenton
Bradenton, FL 34205-5002
Phone (855) 995-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Childrens Service of the Suncoast Inc CurrentSince Nov 14, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 15, 2024 Accepting new patients
Foundations Family Support LLC Mental Health CurrentSince Jun 30, 2025 Accepting new patients
Mindful Mental Health Services - FL Gulf SW LLC CurrentSince Mar 21, 2025 Accepting new patients

Locations

4034 20th St W
Bradenton, FL 34205
Phone (509) 822-6777

5350 Gulf of Mexico Dr
Ste 203
Longboat Key, FL 34228
Phone (941) 210-0384

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

2688 Fruitville Rd
Sarasota, FL 34237
Phone (941) 366-2224

1753 Ringling Blvd
Sarasota, FL 34236
Phone 9413662224 ext. 120

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

922 S Cowley St
Ste 9
Spokane, WA 99202
Phone (509) 822-6777

Organizations & group practices 4

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1518482108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 LONGFELLOW RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431215",
            "telephone_number": "941-524-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 LONGFELLOW RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431215",
            "telephone_number": "941-524-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1753 Ringling Blvd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342366874",
            "country_code": "US",
            "telephone_number": "941-366-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "SHANDRIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015399",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.