My Therapist Shannon LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MY THERAPIST SHANNON LLC

Practice address

1540 Navaho Ave
Jacksonville, FL 32210-1134

Phone

(904) 513-0379

NPI assigned

Mar 19, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Shannon McFauls, LMHCNPI 1811231061

Title

Owner

Phone

(904) 513-0379

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Kelly McFauls, LMHC

  • Mental Health Counselor
  • Yulee, FL
  • NPI 1811231061
  NPD Authorized official

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1619777430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 NAVAHO AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101134",
            "telephone_number": "904-513-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 NAVAHO AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101134",
            "telephone_number": "904-513-0379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 Park St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044317",
            "country_code": "US",
            "telephone_number": "904-513-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY THERAPIST SHANNON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "MCFAULS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-513-0379",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Medex Lab, LLC
• My Nurse Doctor Primary Care LLC
• My Own Angels LLC
• My Path Mental Health Center LLC
• My Peace Keeper II Inc.
• Alissa Meadow Myatt, LCSW
• James Myatt, DPT
• Kaitlin Marie Myatt, APRN
• Melaine Myer, RN
• Myers Home Medical, Inc.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Mar 21, 2025; 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.