Shane K. Davis, LMHC
NPI 1689822686ActiveIndividual· Psychologist, Counseling· Bradenton, FL
Psychologist, Counseling (LMHC) in Bradenton, Florida, licensed in MI and FL, with an NPI issued in September 2008. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1689822686 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMHC |
| Sole proprietor | No |
| NPI issued | Sep 3, 2008 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 6361001470 | MI |
| Counselor, Mental Health | 101YM0800X | MH23035 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (FL) |
|---|
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