Shane C Porter, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH6409 Issued in FL

Practice address

136 Julia St
New Smyrna Beach, FL 32168-7713

Phone

(386) 423-9161

Fax

(386) 423-3094

NPI assigned

Apr 3, 2006

Last updated

Mar 5, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Anthony S Capozzi LLC

  • Psychiatry Physician
  • Port Orange, FL
  • NPI 1063761427
  NPD (past)
• Elpis Counseling LLC

  • Community/Behavioral Health Agency
  • New Smyrna Beach, FL
  • NPI 1669389037
  NPD (past)
• Refresh Health NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Titusville, FL
  • NPI 1952020364
  NPD (past)
• T Richard Saunders PL

  • Clinical Psychologist
  • New Smyrna Beach, FL
  • NPI 1346562295
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1801858329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JULIA ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JULIA ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SHANE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH6409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Pieniazek, DO
• Keniel Felix Pierre, M.D.
• Kelly Pinney, LPN
• Pioneer Chiropractic PLLC
• Davor Pluscec, MD
• Richard M Pratt III, ARNP
• PRC Associates, LLC
• Preferred Injury Physicians of New Smyrna Beach, Inc
• Kimberly Prieto, RBT
• Prime Love & Care Assisted Living LLC (Coquina Cay ALF)

• Professional Counselor in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.