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

Shannon Kirk

Individual provider Counselor · NPI 1295398204

Shannon Kirk is a Mental Health Counselor in Orlando, Florida. Qualified in 2017, 9 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1800 Mercy Dr
Orlando, FL 32808-5646
Phone: (407) 875-3700
Fax: (407) 659-0411
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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 · Licence MH19711 (FL)
Counselor Taxonomy 101Y00000X · Licence MH19711 (FL)

Record details

NPI number1295398204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address1800 Mercy Dr, Orlando, FL 32808-5646

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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