Organization Active NPI

Secure Connections Therapy Collective PLLC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1801702170
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SECURE CONNECTIONS THERAPY COLLECTIVE PLLC
Practice address
2309 Park St
Jacksonville, FL 32204-4317
Phone
(904) 513-0379
NPI assigned
Aug 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Shannon K McFauls, LMHC-QSNPI 1811231061
Title
Founder/Supervisor
Phone
(904) 513-0379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2309 Park St
Jacksonville, FL 32204-4317

Mailing address

1540 Navaho Ave
Jacksonville, FL 32210-1134
Phone (904) 513-0379

National Provider Directory

National Provider Directory

Locations

2309 Park St
Jacksonville, FL 32204
Phone (904) 302-8660

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1801702170",
    "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": "2309 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044317",
            "telephone_number": "904-513-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE CONNECTIONS THERAPY COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "MCFAULS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FOUNDER/SUPERVISOR",
        "authorized_official_telephone_number": "904-513-0379",
        "authorized_official_credential": "LMHC-QS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.