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

Michael Shippole

Individual provider Mental Health Counselor · NPI 1952997744

Michael Shippole is a Mental Health Counselor in Daytona Beach, Florida. Qualified in 1993, 33 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment.

Years since qualifying
33
In the registry since
2020
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 414
Daytona Beach, FL 32115-0414
Phone: (321) 578-9263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1952997744
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2020
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing addressPo Box 414, Daytona Beach, FL 32115-0414

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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