Larry Edward Shyers, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 1054 Issued in FL

Practice address

3750 Lake Center Loop
Mount Dora, FL 32757-2211

Phone

(352) 383-2194

Fax

(352) 383-2193

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Larry E. Shyers, PH.D., and Associates, Inc

  • Mental Health Counselor
  • Mount Dora, FL
  • NPI 1598754749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982818225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 LAKE CENTER LOOP",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572211",
            "telephone_number": "352-383-2194",
            "fax_number": "352-383-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 LAKE CENTER LOOP",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572211",
            "telephone_number": "352-383-2194",
            "fax_number": "352-383-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYERS",
        "first_name": "LARRY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z0990",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James K Shea, M.D.
• Aubrianna Shelton
• Nisha Ann Shenai, MD
• Alexis Shoemaker
• Clifford Michael Shooker, D.C.
• Benson Sia, P.T.
• Trey Sidenbender
• Michelle L Sidor, ARNP
• Veronika Siebenkotten-Branca, MD
• Shauna Simon

• Mental Health Counselor in Mount Dora, FL
• Providers in Mount Dora, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.