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

Shane Nicholas Williamson, LMHC

Individual provider Mental Health Counselor · NPI 1356890693

Shane Nicholas Williamson, LMHC is a Mental Health Counselor in Sanford, Florida. Qualified in 2015, 11 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

See every abbreviation used in this directory →

Practice location Address checks out

722 Trade Way
Sanford, FL 32771-8657
Phone: (833) 769-3524
Fax: (407) 915-4387
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH20135 (FL)

Record details

NPI number1356890693
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address722 Trade Way, Sanford, FL 32771-8657

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 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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