Wallace Scott Shearon, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MT1767 Issued in FL

Practice address

115 E Granada Blvd Ste 1
Ormond Beach, FL 32176-6634

Phone

(386) 265-1441

Fax

(386) 265-4066

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Scott W Shearon Other name

Medicare fee-for-service enrollment

Enrolled in FL2 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

Specialty

Mental Health Counselor

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Counseling Network LLCGroup PAC ID 0840544789, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Florida Counseling Network LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ormond Beach, FL
  • NPI 1821584202
  Medicare reassignment Care Compare group NPD
• Assessments Inc

  • Mental Health Counselor
  • Jensen Beach, FL
  • NPI 1063160752
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1568422533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E GRANADA BLVD STE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766634",
            "telephone_number": "386-265-1441",
            "fax_number": "386-265-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E GRANADA BLVD STE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766634",
            "telephone_number": "386-265-1441",
            "fax_number": "386-265-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARON",
        "first_name": "WALLACE",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT1767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST",
            "identifier": "MT1767",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "SHEARON",
            "middle_name": "W",
            "prefix": "MR.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Ormond Beach, FL
• Providers in Ormond Beach, 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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.