Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shane M. Kinney, EDDLMHC

Individual provider Mental Health Counselor · NPI 1366105793

Dr. Shane M. Kinney, EDDLMHC is a Mental Health Counselor in Miami, Florida. Qualified in 2016, 10 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2021

Practice location Address checks out

9408 SW 87th Ave
Miami, FL 33176-2407
Phone: (786) 472-2400
Fax: (786) 220-1565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8365 Sw 45th St, Miami, FL 33155-4226 — (305) 724-7757

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH19829 (FL)

Record details

NPI number1366105793
Entity typeIndividual (Type 1)
GenderMale
Credentials EDDLMHC
Sole proprietorYes
NPI enumeratedOctober 21, 2021
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Personal Recovery Network Llc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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